LAURA DOUGLASS

PHILADELPHIA, PA
NPI1902148596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: PA  MD466826)
Enumeration Date2013-03-21
Last Update Date2019-05-30
Business Address
LAURA DOUGLASS
3509 N BROAD ST
PHILADELPHIA, PA 19140-4105
Phone number: 215-707-3375
Mailing Address
LAURA DOUGLASS
2450 W HUNTING PARK AVE FL TASB3
PHILADELPHIA, PA 19129-1302
Phone number: