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Organization

CONSTITUTION ELM EMERGENCY PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization

Contact information

Practice address
1141 HOSPITAL DR NW, CORYDON, IN 47112-2164
(812) 738-4251
Mailing address
PO BOX 37762, PHILADELPHIA, PA 19101-5062
(954) 838-2371

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
01/26/2009
Last updated
01/13/2021
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