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1801899281
MARC A LAVINE
PHILADELPHIA, PA
NPI
1801899281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: PA MD070920L)
Enumeration Date
2005-05-31
Last Update Date
2012-11-05
Business Address
-- MARC A LAVINE MD
3998 RED LION RD STE 305
PHILADELPHIA, PA 19114-1436
Phone number: 215-632-8882
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Mailing Address
-- MARC A LAVINE MD
PO BOX 8500-6335
PHILADELPHIA, PA 19178-6335
Phone number: 215-632-8882
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