Organization
BRODKOHUTIAK&JAMALILTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE TURTURICI (OFFICE MANAGER)
(601) 565-7810
Entity
Organization
Contact information
Practice address
1098 W BALTIMORE PIKE, SUITE 3311, MEDIA, PA 19063-5139
(610) 565-7810
(610) 565-0546
Mailing address
1098 W BALTIMORE PIKE, SUITR 3311, MEDIA, PA 19063-5139
(610) 565-7810
(610) 565-0546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD011593E
PA
Other
Enumeration date
10/26/2006
Last updated
12/08/2010
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