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1760548879
ADAM W ELLIS
PHILADELPHIA, PA
NPI
1760548879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OSOO7563L)
Enumeration Date
2007-01-01
Last Update Date
2019-12-26
Business Address
Dr. ADAM W ELLIS D.O.
1641 JACKSON ST
PHILADELPHIA, PA 19145-3843
Phone number: 215-334-2550
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Mailing Address
Dr. ADAM W ELLIS D.O.
2601 S. 12TH ST
PHILADELPHIA, PA 19148
Phone number: 215-334-2550
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