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1588336614
ERIC ROUSELL
PHILADELPHIA, PA
NPI
1588336614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA062900)
Enumeration Date
2021-09-28
Last Update Date
2023-12-21
Business Address
ERIC ROUSELL
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
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Mailing Address
ERIC ROUSELL
1520 HAMILTON ST APT 516
PHILADELPHIA, PA 19130-4280
Phone number: 631-745-2552
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