Individual
HALLAM MELVILLE GUGELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3400 SPRUCE ST, ONE MALONEY, PHILADELPHIA, PA 19104-4206
(215) 662-6305
Mailing address
3400 SPRUCE ST, ONE MALONEY, PHILADELPHIA, PA 19104-4206
(215) 662-6305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MT194592
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT194592
PA
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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