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Organization
FIRST AVENUE OCCUPATIONAL MEDICINE, LLC
Active
Organization
FIRST AVENUE OCCUPATIONAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J BEAROFF MD (MEDICAL DIRECTOR/MANAGING PARTNER)
(610) 265-3200
Entity
Organization
Contact information
Practice address
860 1ST AVE, 7A, KING OF PRUSSIA, PA 19406-4033
(610) 265-3200
(610) 265-6522
Mailing address
860 1ST AVE, STE. 7A, KING OF PRUSSIA, PA 19406-4033
(610) 265-3200
(610) 265-6522
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
MD019365E
PA
Other
Enumeration date
10/10/2006
Last updated
06/16/2008
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