ALLEN VAN

PHILADELPHIA, PA
NPI1598132540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: PA  RT006011)
Enumeration Date2015-08-25
Last Update Date2015-08-25
Business Address
-- ALLEN VAN
4434 I ST
PHILADELPHIA, PA 19124-3812
Phone number: 267-231-8988
Mailing Address
-- ALLEN VAN
4434 I ST
PHILADELPHIA, PA 19124-3812
Phone number: 267-231-8988
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