Individual
LIZA O'DOWD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, 3 RAVDIN SUITE G, PHILADELPHIA, PA 19104-4206
(215) 662-2425
Mailing address
3400 SPRUCE ST, 15 PENN TOWER, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD053631L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016812110001
—
PA
Enumeration date
12/08/2006
Last updated
03/17/2011
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