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1972090199
ALYCIA LING SO
PHILADELPHIA, PA
NPI
1972090199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: PA MD484768)
Additional Taxonomies
208600000X Surgery
(Licence: TX U4021)
Enumeration Date
2018-04-13
Last Update Date
2024-06-06
Business Address
ALYCIA LING SO MD
333 COTTMAN AVE
PHILADELPHIA, PA 19111-2434
Phone number: 215-728-3095
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Mailing Address
ALYCIA LING SO MD
3500 N BROAD ST
PHILADELPHIA, PA 19140-4106
Phone number: 215-707-3411
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