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1760167357
TED MARCEL FREDERIC
PHILADELPHIA, PA
NPI
1760167357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OT022778)
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
TED MARCEL FREDERIC DO
3401 N BROAD ST STE 810
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-4085
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Mailing Address
TED MARCEL FREDERIC DO
3401 N BROAD ST STE 810
PHILADELPHIA, PA 19140-5103
Phone number:
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