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Individual

ANDREW LUBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
270 COMMERCE DR, SUITE 250, FORT WASHINGTON, PA 19034-2405
(215) 653-0600
(215) 646-4422
Mailing address
270 COMMERCE DR, SUITE 250, FORT WASHINGTON, PA 19034-2405
(215) 653-0600
(215) 646-4422

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD062453L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01707819
PA
01
MD062443L
MEDICAL LICENSE
PA
Enumeration date
08/10/2005
Last updated
03/07/2023
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