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Individual

DR. KORY SCOTT LONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Mailing address
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD454200
PA
390200000X
Student in an Organized Health Care Education/Training Program
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103040100 0003
PA
05
103040100 0004
PA
Enumeration date
06/02/2011
Last updated
11/03/2015
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