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Organization
SUBURBAN MULTISPECIALTY LIMITED, LLC
Active
Organization
SUBURBAN MULTISPECIALTY LIMITED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINA JEAN DUBROW (PRACTICE MANAGER)
(610) 667-4080
Entity
Organization
Contact information
Practice address
1 BELMONT AVENUE, SUITE 416, BALA CYNWYD, PA 19004-1607
(610) 667-4080
(610) 667-2748
Mailing address
1 BELMONT AVENUE, SUITE 416, BALA CYNWYD, PA 19004-1607
(610) 667-4080
(610) 667-2748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-009268L
PA
207YS0123X
Facial Plastic Surgery Physician
OS.015962
PA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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