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1932559200
KOHTAROH BRIAN TAKAMURA
PHILADELPHIA, PA
NPI
1932559200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA OT017293)
Enumeration Date
2016-06-17
Last Update Date
2016-06-18
Business Address
-- KOHTAROH BRIAN TAKAMURA D.O.
230 N BROAD ST MS #623
PHILADELPHIA, PA 19102-1121
Phone number: 215-762-2618
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Mailing Address
-- KOHTAROH BRIAN TAKAMURA D.O.
230 N BROAD ST MS #623
PHILADELPHIA, PA 19102-1121
Phone number: 215-762-2618
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