Provider First Line Business Practice Location Address:
3400 SPRUCE STREET, 4 MALONEY BUILDING
Provider Second Line Business Practice Location Address:
UPHS GENERAL SURGERY RESIDENCY TRAINING PROGRAM
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104-4238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-699-3989
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/30/2017