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Organization
OGONTZ FAMILY MEDICAL, P.C.
Active
Organization
OGONTZ FAMILY MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LINCOW (GENERAL MANAGER)
(215) 224-8980
Entity
Organization
Contact information
Practice address
7622 OGONTZ AVE, PHILADELPHIA, PA 19150-1817
(215) 224-8980
(215) 893-4704
Mailing address
7622 OGONTZ AVE, PHILADELPHIA, PA 19150-1817
(215) 224-8980
(215) 893-4704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/21/2009
Last updated
01/08/2010
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