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1275020349
GREGORY L. MCDONOUGH
PHILADELPHIA, PA
NPI
1275020349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MT215085)
Enumeration Date
2018-04-15
Last Update Date
2018-05-22
Business Address
GREGORY L. MCDONOUGH
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107-4405
Phone number: 215-955-8465
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Mailing Address
GREGORY L. MCDONOUGH
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107-4405
Phone number: 215-955-8465
Copy
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