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Organization

PHILADELPHIA VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL GLIATTO M.D. (HIRING OFFICER)
(215) 823-4037
Entity
Organization

Contact information

Practice address
8TH AND ALABAMA ST, BUILDING 5437, FORT DIX, NJ 08640
(609) 562-2999
Mailing address
834 CHESTNUT ST, APPARTMENT 732, PHILADELPHIA, PA 19107-5127
(215) 840-4223

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
25MB08244700
NJ

Other

Enumeration date
05/30/2007
Last updated
08/22/2020
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