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1841408879
LUCIA FERNANDA FONTALVO-HERAZO
PHILADELPHIA, PA
NPI
1841408879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: PA LT000622)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- LUCIA FERNANDA FONTALVO-HERAZO MD
34TH STREET AND CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-6503
Phone number: 215-590-2575
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Mailing Address
-- LUCIA FERNANDA FONTALVO-HERAZO MD
1900 S BROAD ST
PHILADELPHIA, PA 19145-2304
Phone number: 215-590-2575
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