Organization
JOAN E. HURLOCK, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN E HURLOCK MD (OWNER)
(215) 482-4542
Entity
Organization
Contact information
Practice address
5735 RIDGE AVE, SUITE 105, PHILADELPHIA, PA 19128-1745
(215) 482-4542
Mailing address
600 SEVILLE ST, PHILADELPHIA, PA 19128-2713
(215) 482-7844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD012610E
PA
Other
Enumeration date
07/31/2006
Last updated
03/20/2008
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