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DENNIS POLICASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 SPRUCE STREET, SUITE 304, PHILADELPHIA, PA 19106-4023
(215) 829-3521
(215) 829-3532
Mailing address
700 SPRUCE STREET, SUITE 304, PHILADELPHIA, PA 19106-4023
(215) 829-3521
(215) 829-3532

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD027987E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001051050
PA
Enumeration date
07/17/2006
Last updated
11/21/2011
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