Individual
DR. MARK THOMAS WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
253 SO 10TH STREET, SUITE 201, PHILADELPHIA, PA 19107-5605
(215) 829-0170
(215) 829-0173
Mailing address
253 S 10TH ST, SUITE 201, PHILADELPHIA, PA 19107-5751
(215) 829-0170
(215) 829-0173
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS006195L
PA
Other
Enumeration date
11/01/2006
Last updated
05/26/2009
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