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1396199881
CITY LINE E.N.T., PC
PHILADELPHIA, PA
NPI
1396199881
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Entity Type
Organization
Authorized Contact
THEODORE P MAUER
Owner
215-879-0060
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: PA OS0011941L)
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
CITY LINE E.N.T., PC
4190 CITY AVE STE 526
PHILADELPHIA, PA 19131-1626
Phone number: 215-879-0060
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Mailing Address
CITY LINE E.N.T., PC
4190 CITY AVE STE 526
PHILADELPHIA, PA 19131-1626
Phone number: 215-879-0060
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