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Organization

MARK T ALLEN, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DOLORES D BAILEY (BILLING SERVICE)
(302) 659-5204
Entity
Organization

Contact information

Practice address
1600 WEST GIRARD AVENUE, PHILADELPHIA, PA 19130
(215) 787-9344
Mailing address
PO BOX 3220, PHILADELPHIA, PA 19130-0220
(215) 787-9344

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD038491L
PA

Other

Enumeration date
07/07/2006
Last updated
04/07/2008
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