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Individual

CLAIRE JACKSON LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 SPRUCE ST, DEPARTMENT OF EMERGENCY MEDICINE, GROUND FLOOR RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-6305
Mailing address
101 PAGE ST DEPT OF, NEW BEDFORD, MA 02740-3464
(508) 973-5771

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
281196
MA

Other

Enumeration date
03/30/2015
Last updated
11/08/2019
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