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Individual

LISA D UNGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, 19 PENN TOWER, PHILADELPHIA, PA 19104-4206
(215) 662-6888
(215) 662-3148
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039143E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
424204
BLUE SHIELD
PA
01
501852
AETNA
PA
Enumeration date
09/13/2006
Last updated
02/16/2008
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