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Individual

COURTNEY WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9323
(215) 952-1246
Mailing address
PO BOX 8500-2345, PHILADELPHIA, PA 19178-0001
(717) 263-5562
(717) 263-1566

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD069006L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017879540004
PA
Enumeration date
09/30/2005
Last updated
10/19/2007
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