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Individual

DR. POLLY HENRICA MARIA VAN DEN BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 S. 8TH STREET, STE. 1B, DUNCAN BLDG, PHILADELPHIA, PA 19106-4015
(215) 829-5354
(215) 829-7132
Mailing address
301 S. 8TH STREET, STE 1B, DUNCAN BLDG, PHILADELPHIA, PA 19106-4015
(215) 829-5354
(215) 829-7132

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD473856
PA

Other

Enumeration date
05/29/2016
Last updated
08/23/2021
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