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1740206226
TYSON FAMILY MEDICAL P.C.
PHILADELPHIA, PA
NPI
1740206226
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Entity Type
Organization
Authorized Contact
DAVID M PUDLES
Owner
267-350-5575
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS005343-L)
Enumeration Date
2006-07-15
Last Update Date
2007-11-12
Business Address
TYSON FAMILY MEDICAL P.C.
2831 TYSON AVE
PHILADELPHIA, PA 19149-1415
Phone number: 267-350-5575
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Mailing Address
TYSON FAMILY MEDICAL P.C.
2831 TYSON AVE
PHILADELPHIA, PA 19149-1415
Phone number: 267-350-5575
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