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1306102157
CHANTEL PARK
PHILADELPHIA, PA
NPI
1306102157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: PA MD460654)
Enumeration Date
2012-04-05
Last Update Date
2022-07-21
Business Address
-- CHANTEL PARK
211 S 9TH ST STE 600
PHILADELPHIA, PA 19107-6810
Phone number: 215-955-8430
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Mailing Address
-- CHANTEL PARK
1025 WALNUT ST STE 805
PHILADELPHIA, PA 19107-5001
Phone number: 215-955-8768
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