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Organization
VICTORY PRIMARY CARE LLC
Active
Organization
VICTORY PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN SARDANOPOLI M.D. (PHYSICIAN)
(610) 580-3794
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, MED OFF BLDG WEST STE 432, WYNNEWOOD, PA 19096-3450
(610) 896-7172
(610) 642-2693
Mailing address
364 SAUNDERS DR, WAYNE, PA 19087-5407
(610) 580-3794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD073683L
PA
Other
Enumeration date
06/20/2016
Last updated
09/22/2016
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