# DEEBEANNE M TAVANI DO PHD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225140791
- **Authorized official:** DR. DEEBEANNE M TAVANI DO PHD (CEO)
- **Authorized official phone:** (610) 896-5770

## Contact information

- **Practice address:** 100 E LANCASTER AVE, MOB EAST SUITE 453E, WYNNEWOOD, PA 19096-3450
- **Practice address phone:** (610) 896-5170
- **Practice address fax:** (610) 896-5640
- **Mailing address:** 100 E LANCASTER AVE, MOB EAST SUITE 453E, WYNNEWOOD, PA 19096-3450
- **Mailing address phone:** (610) 896-5170
- **Mailing address fax:** (610) 896-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0S006178L | PA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 06/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1280660 | — | PA |