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Organization
NINTH STREET INTERNAL MEDICINE ASSOCIATES LTD
Active
Organization
NINTH STREET INTERNAL MEDICINE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN TESTA (PRACTICE ADMINISTRATOR)
(215) 440-8681
Entity
Organization
Contact information
Practice address
805 LOCUST STREET, PHILADELPHIA, PA 19107-5507
(215) 440-8681
(215) 440-9953
Mailing address
805 LOCUST STREET, PHILADELPHIA, PA 19107-5507
(215) 440-8681
(215) 440-9953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
01/04/2024
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