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1295946010
JOSEPH DE JESUS
PHILADELPHIA, PA
NPI
1295946010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: PA MD432955)
Enumeration Date
2007-05-24
Last Update Date
2023-08-29
Business Address
JOSEPH DE JESUS MD
3401 N BROAD ST DEPT OF
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-7237
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Mailing Address
JOSEPH DE JESUS MD
812 LOMBARD ST APT 32
PHILADELPHIA, PA 19147-1308
Phone number: 215-546-7419
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