Individual
KENNETH MARSAGLIA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8414 BRIDLE ROAD, PHILADELPHIA, PA 19111
(267) 357-3406
Mailing address
8414 BRIDLE ROAD, PHILADELPHIA, PA 19111
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
25MT00207900
NJ
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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