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Individual

CONSTANCE J DINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BOULEVARD, WEST PAVILION-1ST FLOOR, PHILADELPHIA, PA 19104-4306
(215) 662-3202
(215) 349-8432
Mailing address
3400 CIVIC CENTER BOULEVARD, WEST PAVILION-1ST FLOOR, PHILADELPHIA, PA 19104-4306
(215) 662-3202
(215) 379-8432

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD425693
PA

Other

Enumeration date
12/18/2006
Last updated
08/14/2012
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