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Organization
DEEBEANNE M TAVANI DO PHD PC
Active
Organization
DEEBEANNE M TAVANI DO PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEBEANNE M TAVANI DO PHD (CEO)
(610) 896-5770
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, MOB EAST SUITE 453E, WYNNEWOOD, PA 19096-3450
(610) 896-5170
(610) 896-5640
Mailing address
100 E LANCASTER AVE, MOB EAST SUITE 453E, WYNNEWOOD, PA 19096-3450
(610) 896-5170
(610) 896-5640
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0S006178L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1280660
—
PA
Enumeration date
08/31/2006
Last updated
06/16/2021
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