Individual
QUINCY MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 N WILTON ST, PHILADELPHIA, PA 19139-2634
(215) 796-9547
Mailing address
141 N WILTON ST, PHILADELPHIA, PA 19139-2634
(215) 796-9547
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
33262189
PA
208D00000X
General Practice Physician
Primary
33262189
PA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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