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Organization
SOUTH PHILADELPHIA FAMILY MEDICINE
Active
Organization
SOUTH PHILADELPHIA FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MAZZOTTI DO (OWNER)
(215) 334-4049
Entity
Organization
Contact information
Practice address
2243 S 9TH ST, PHILADELPHIA, PA 19148-3102
(215) 334-4049
(215) 462-9722
Mailing address
3960 LANKENAU AVE, PHILADELPHIA, PA 19131-2827
(215) 334-4049
(215) 462-9722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008840L
PA
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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