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Individual

CARLA S CUOCI-MALIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
9331 OLD BUSTLETON AVE, SUITE100A, PHILADELPHIA, PA 19115-4204
(215) 671-0653
Mailing address
2450 W HUNTING PARK AVE, 2ND FLOOR TPI, PHILADELPHIA, PA 19129-1302
(215) 926-9022

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006207L
PA

Other

Enumeration date
01/28/2014
Last updated
05/06/2016
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