Organization
JOSEPH M LICHTMAN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA ELLIOTT (OFFICE MANAGER)
(215) 922-4274
Entity
Organization
Contact information
Practice address
514 S 4TH ST, PHILADELPHIA, PA 19147-1593
(215) 922-4274
(215) 922-2715
Mailing address
514 S 4TH ST, PHILADELPHIA, PA 19147-1593
(215) 922-4274
(215) 922-2715
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MD033646L
PA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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