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Organization

PROFESSIONAL HEALTHCARE DYNAMICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD J DITTRICH D.O. (MEDICAL DIRECTOR)
(215) 465-3000
Entity
Organization

Contact information

Practice address
1313 WOLF ST, PHILADELPHIA, PA 19148-2911
(215) 465-3000
(215) 465-1085
Mailing address
1313 WOLF ST, PHILADELPHIA, PA 19148-2911
(215) 465-3000
(215) 465-1085

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OS003098L
PA

Other

Enumeration date
06/03/2015
Last updated
06/03/2015
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