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1689724320
GREGORY DERUSSO LTD
PHILADELPHIA, PA
NPI
1689724320
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Entity Type
Organization
Authorized Contact
GREGORY DERUSSO
President
215-333-7505
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-01-12
Last Update Date
2020-08-22
Business Address
GREGORY DERUSSO LTD
7505 BUSTLETON AVE
PHILADELPHIA, PA 19152-4136
Phone number: 215-333-7505
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Mailing Address
GREGORY DERUSSO LTD
7505 BUSTLETON AVE
PHILADELPHIA, PA 19152-4136
Phone number: 215-333-7505
Copy
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