# JOAN E. HURLOCK, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225044688
- **Authorized official:** JOAN E HURLOCK MD (OWNER)
- **Authorized official phone:** (215) 482-4542

## Contact information

- **Practice address:** 5735 RIDGE AVE, SUITE 105, PHILADELPHIA, PA 19128-1745
- **Practice address phone:** (215) 482-4542
- **Mailing address:** 600 SEVILLE ST, PHILADELPHIA, PA 19128-2713
- **Mailing address phone:** (215) 482-7844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD012610E | PA | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 03/20/2008