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1841202140
EFREN COSTIBOLO GO
PHILADELPHIA, PA
NPI
1841202140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: PA MD046838L)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
Dr. EFREN COSTIBOLO GO M.D.
1720 S BROAD ST HEALTH CARE CENTER #2
PHILADELPHIA, PA 19145-2315
Phone number: 215-685-1803
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Mailing Address
Dr. EFREN COSTIBOLO GO M.D.
500 S BROAD ST SUITE 360
PHILADELPHIA, PA 19146-1613
Phone number: 215-685-6769
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