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Individual
PHILIP MOTLEY
Active
Individual
PHILIP MOTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
25MA10774200
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD460586
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103357614
—
PA
Enumeration date
06/17/2014
Last updated
04/19/2024
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