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Organization
LODI DELTA EMERGENCY PHYSICIANS
Active
Organization
LODI DELTA EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL L ISCOVICH MD (GENERAL PARTNER)
(805) 563-3011
Entity
Organization
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 339-7575
Mailing address
PO BOX 7830, PHILADELPHIA, PA 19101-7830
(805) 563-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
01/28/2010
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