Individual
MICHAEL B LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE STREET, PHILADELPHIA, PA 19107
(215) 829-6079
(215) 829-7482
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD012627E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007486930016
—
PA
Enumeration date
06/22/2006
Last updated
03/08/2011
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