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Organization
PASSYUNK MEDICAL ASSOCIATES PC
Active
Organization
PASSYUNK MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PISANO DO (DOCTOR)
(215) 467-0700
Entity
Organization
Contact information
Practice address
1626 E PASSYUNK AVE, PHILADELPHIA, PA 19148-1122
(215) 467-0700
(215) 467-4457
Mailing address
1626 E PASSYUNK AVE, PHILADELPHIA, PA 19148-1122
(215) 467-0700
(215) 467-4457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS007441L
PA
Other
Enumeration date
06/10/2006
Last updated
03/22/2018
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