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1780672881
JACK H MYDLO
PHILADELPHIA, PA
NPI
1780672881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: PA MD071004L)
Enumeration Date
2005-10-12
Last Update Date
2017-03-21
Business Address
-- JACK H MYDLO MD
3401 N BROAD ST 3RD FLOOR PARKINSON PAVILION
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-3375
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Mailing Address
-- JACK H MYDLO MD
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-3375
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