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EDWARD RONALD GASIEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2716 ORTHODOX ST, PHILADELPHIA, PA 19137-1604
(215) 743-4435
(215) 743-8848
Mailing address
16 PROVIDENCE CT, NEWTOWN, PA 18940-9796
(215) 497-9399
(215) 743-8848

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00643800
NJ
225100000X
Physical Therapist
Primary
PT010629L
PA

Other

Enumeration date
02/20/2007
Last updated
11/20/2007
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