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Individual

MR. JOHN PETER DE CARLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7904 BUSTLETON AVENUE, PHILADELPHIA, PA 19152
(215) 742-7212
(215) 742-9014
Mailing address
7904 BUSTLETON AVENUE, PHILADELPHIA, PA 19152
(215) 742-7212
(215) 742-9014

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD029491E
PA

Other

Enumeration date
11/01/2006
Last updated
06/20/2011
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