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Individual

JOSEPH C FLANAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 E LANCASTER AVE, SUITE 256 MEDICAL BLDG EAST, WYNNEWOOD, PA 19096-3450
(610) 649-1970
Mailing address
100 E LANCASTER AVE, SUITE 256 MEDICAL BLDG EAST, WYNNEWOOD, PA 19096-3450
(610) 649-1970

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA04551300
NJ
207W00000X
Ophthalmology Physician
Primary
MD007479E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0640081
PA
05
1315102
NJ
Enumeration date
07/20/2005
Last updated
07/02/2008
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