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Organization

OAK LANEMEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERARD ROLAND (CEO)
(215) 927-3778
Entity
Organization

Contact information

Practice address
6715 OLD YORK RD, PHILADELPHIA, PA 19126-2841
(215) 927-3778
(215) 927-3745
Mailing address
6715 OLD YORK RD, PHILADELPHIA, PA 19126-2841
(215) 927-3778
(215) 927-3745

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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