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Organization

PENN EXECUTIVE DIAGNOSTIC CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE KENNETH SPITZ MD (PRESIDENT)
(215) 569-9500
Entity
Organization

Contact information

Practice address
1801 MARKET ST, SUITE 200, PHILADELPHIA, PA 19103-1628
(215) 569-9500
(215) 569-4839
Mailing address
1801 MARKET ST, SUITE 200, PHILADELPHIA, PA 19103-1628
(215) 569-9500
(215) 569-4839

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
PA

Other

Enumeration date
05/22/2006
Last updated
07/21/2022
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