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1659868651
LISA ANDREA BEVILACQUA
PHILADELPHIA, PA
NPI
1659868651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-16
Last Update Date
2018-04-16
Business Address
Dr. LISA ANDREA BEVILACQUA MD
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107-5005
Phone number: 215-955-6864
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Mailing Address
Dr. LISA ANDREA BEVILACQUA MD
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107-5005
Phone number:
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