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Organization
PARKWOOD MEDICAL PRACTICE PC
Active
Organization
PARKWOOD MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAL B GANZMAN D.O. (OWNER)
(215) 637-3100
Entity
Organization
Contact information
Practice address
12401 ACADEMY RD, SUITE 203, PHILADELPHIA, PA 19154-1932
(215) 637-3100
(215) 637-7310
Mailing address
12401 ACADEMY RD, SUITE 203, PHILADELPHIA, PA 19154-1932
(215) 637-3100
(215) 637-7310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007829L
PA
Other
Enumeration date
03/19/2007
Last updated
12/04/2007
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