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Organization
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
Active
Organization
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BARG MD (EXECUTIVE DIRECTOR)
(610) 239-2871
Entity
Organization
Contact information
Practice address
230 W WASHINGTON SQ, 5TH FLOOR, PHILADELPHIA, PA 19106-3500
(215) 829-3668
(215) 829-5002
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
(866) 586-2431
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
10/25/2013
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