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Organization
PHILLY MEDICAL AND REHAB ASSOCIATES
Active
Organization
PHILLY MEDICAL AND REHAB ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M KOSMORSKY DO (OWNER)
(215) 488-4999
Entity
Organization
Contact information
Practice address
6401 RISING SUN AVE, PHILADELPHIA, PA 19111-5228
(215) 535-5616
(215) 535-5618
Mailing address
6401 RISING SUN AVE, PHILADELPHIA, PA 19111-5228
(215) 535-5616
(215) 535-5618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007133L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F27707
UPIN
—
Enumeration date
03/14/2018
Last updated
07/06/2020
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