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Organization

PENNSYLVANIA INJURY CENTER

Active
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Organization

PENNSYLVANIA INJURY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL DEPRINCE III D.O. (PRESIDENT)
(215) 672-2436
Entity
Organization

Contact information

Practice address
6735 HARBISON AVE, PHILADELPHIA, PA 19149-2305
(215) 672-2436
(215) 672-2437
Mailing address
PO BOX 45856, 6735 HARBISON AVENUE, PHILADELPHIA, PA 19149-5856
(215) 672-2436
(215) 672-2437

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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