TED MARCEL FREDERIC

PHILADELPHIA, PA
NPI1760167357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  OT022778)
Enumeration Date2023-06-20
Last Update Date2023-06-20
Business Address
TED MARCEL FREDERIC DO
3401 N BROAD ST STE 810
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-4085
Mailing Address
TED MARCEL FREDERIC DO
3401 N BROAD ST STE 810
PHILADELPHIA, PA 19140-5103
Phone number: