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Individual

EMMANUEL S KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-6250
(215) 615-0500
Mailing address
3400 SPRUCE STREET, 5034 MALONEY, PHILADELPHIA, PA 19104-4206
(215) 662-6250
(215) 615-0500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD422745
PA
208M00000X
Hospitalist Physician
Primary
MD422745
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009806850001
PA
Enumeration date
10/13/2005
Last updated
12/05/2017
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