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Individual

DR. AVERY C ROSSIDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1190
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1190

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD457247
PA
208600000X
Surgery Physician
MT203826
PA

Other

Enumeration date
05/09/2013
Last updated
05/11/2021
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