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Organization

TYSON FAMILY MEDICAL P.C.

Active
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Organization

TYSON FAMILY MEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID M PUDLES D.O (OWNER)
(267) 350-5575
Entity
Organization

Contact information

Practice address
2831 TYSON AVE, PHILADELPHIA, PA 19149-1415
(267) 350-5575
(215) 624-0874
Mailing address
2831 TYSON AVE, PHILADELPHIA, PA 19149-1415
(267) 350-5575
(215) 624-0874

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005343-L
PA

Other

Enumeration date
07/15/2006
Last updated
11/12/2007
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