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Individual

DR. CARL LYNN PIERCE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 W 9TH ST, CHESTER, PA 19013-4038
(610) 876-5450
(610) 876-1668
Mailing address
500 W 9TH ST, CHESTER, PA 19013-4038
(610) 876-5450
(610) 876-1668

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030504L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01137501
PA
Enumeration date
01/29/2007
Last updated
07/08/2007
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