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1407605850
MANUEL ANTONIO GARCIA RUSSO
PHILADELPHIA, PA
NPI
1407605850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: PA MT230753)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
MANUEL ANTONIO GARCIA RUSSO MD
3401 N BROAD ST STE 400
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-3133
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Mailing Address
MANUEL ANTONIO GARCIA RUSSO MD
2229 S DARIEN ST
PHILADELPHIA, PA 19148-3105
Phone number:
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