Individual
DEBORAH JEAN GORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
3322 N BROAD ST, PHILADELPHIA, PA 19140-5185
(413) 221-8461
Mailing address
3322 N BROAD ST, PHILADELPHIA, PA 19140-5185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT223655
PA
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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