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1841039518
THOMAS JAMES STAVOLA
PHILADELPHIA, PA
NPI
1841039518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA OT023798)
Enumeration Date
2024-05-22
Last Update Date
2024-06-07
Business Address
THOMAS JAMES STAVOLA DO
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141-3098
Phone number: 215-456-6500
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Mailing Address
THOMAS JAMES STAVOLA DO
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141-3098
Phone number: 215-456-6500
Copy
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