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Organization
PHILADELPHIA FIGHT
Active
Organization
PHILADELPHIA FIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA BUNGY (COO)
(215) 985-4448
Entity
Organization
Contact information
Practice address
1233 LOCUST ST FL 4, PHILADELPHIA, PA 19107-5459
(215) 985-4448
(215) 673-1145
Mailing address
1233 LOCUST STREET, 3RD FLOOR, PHILADELPHIA, PA 19107-5453
(215) 790-1788
(215) 732-5490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747222
—
PA
05
—
7365513
—
PA
Enumeration date
03/20/2007
Last updated
03/17/2018
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