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1912642703
PHILLYMEDCLUB PLLC
PHILADELPHIA, PA
NPI
1912642703
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Entity Type
Organization
Authorized Contact
WAYNE CHRISTOPHER RANEIRO
Cmo
215-776-7308
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
PHILLYMEDCLUB PLLC
1300 N 2ND ST OFC 101
PHILADELPHIA, PA 19122-4594
Phone number: 215-776-7308
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Mailing Address
PHILLYMEDCLUB PLLC
1300 N 2ND ST OFC 101
PHILADELPHIA, PA 19122-4594
Phone number: 215-776-7308
Copy
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