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Organization
ROXBOROUGH MEDICAL GROUP LLC
Active
Organization
ROXBOROUGH MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128
(215) 487-4244
(215) 487-4274
Mailing address
5800 RIDGE AVE, PHILADELPHIA, PA 19128
(215) 487-4244
(215) 487-4274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
10/15/2024
Last updated
02/26/2025
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