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1972792257
LIBERTY MEDICAL GROUP PC
PHILADELPHIA, PA
NPI
1972792257
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Entity Type
Organization
Authorized Contact
NEIL P GLICKMAN
President
215-535-2121
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS002144L)
Enumeration Date
2007-10-23
Last Update Date
2007-11-01
Business Address
LIBERTY MEDICAL GROUP PC
6200 FRANKFORD AVE
PHILADELPHIA, PA 19135-3405
Phone number: 215-535-2121
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Mailing Address
LIBERTY MEDICAL GROUP PC
6200 FRANKFORD AVE
PHILADELPHIA, PA 19135-3405
Phone number: 215-535-2121
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