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Individual

RAJVI TELI IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L, MED.

Contact information

Practice address
3075 W RIDGE PIKE, EAGLEVILLE, PA 19403-1538
(610) 265-4700
Mailing address
171 E WALNUT PARK DR, PHILADELPHIA, PA 19120-1024
(215) 549-2151

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PA

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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