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Individual

TOBY COHEN-TALLY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7500 CENTRAL AVE, SUITE 204, PHILADELPHIA, PA 19111-2430
(215) 728-7774
(215) 722-3893
Mailing address
788 PINEWOOD DR, ELKINS PARK, PA 19027-1613
(215) 728-7774
(215) 722-3893

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD422059
PA

Other

Enumeration date
06/15/2006
Last updated
07/08/2007
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