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1992969117
COLIN MAGNUSON O'DEA
PHILADELPHIA, PA
NPI
1992969117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA MT193425)
Enumeration Date
2008-07-16
Last Update Date
2008-07-16
Business Address
-- COLIN MAGNUSON O'DEA M.D.
BROAD AND VINE STREETS MAIL STOP 623
PHILADELPHIA, PA 19102
Phone number: 215-762-2618
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Mailing Address
-- COLIN MAGNUSON O'DEA M.D.
1614 MOUNT VERNON ST APT 2
PHILADELPHIA, PA 19130-3340
Phone number: 812-219-0066
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