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Organization
TRIANGLE MEDICAL, INC.
Active
Organization
TRIANGLE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK T WATKINS D.O. (OWNER/PHYSICIAN)
(215) 545-0170
Entity
Organization
Contact information
Practice address
1202 LOCUST ST, SUITE 201, PHILADELPHIA, PA 19107-5605
(215) 545-0170
(215) 545-8677
Mailing address
1202 LOCUST ST, SUITE 201, PHILADELPHIA, PA 19107-5605
(215) 545-0170
(215) 545-8677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006195-L
PA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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