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Organization
OLINE TREE MEDICAL PRACTICE
Active
Organization
OLINE TREE MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BALDWIN (CREDENTIALING MANAGER)
(215) 805-2647
Entity
Organization
Contact information
Practice address
802 BURMONT ROAD, DREXEL HILL, PA 19026-4413
(215) 805-2647
(215) 245-4827
Mailing address
270 WINDERMERE AVE, LANSDOWNE, PA 19050-1154
(215) 805-2647
(215) 245-4827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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