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Individual

RESA LEWISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1020 SANSOM ST STE 239, PHILADELPHIA, PA 19107
(215) 955-6844
(215) 955-2526
Mailing address
1020 SANSOM ST STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
225316
NY
207P00000X
Emergency Medicine Physician
40236
CO
207P00000X
Emergency Medicine Physician
Primary
MD462697
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02321162
NY
Enumeration date
11/17/2006
Last updated
11/26/2018
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