Individual
SEYEDALIREZA MIRGHASEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(800) 346-7834
Mailing address
4701 WILLARD AVE APT 704, CHEVY CHASE, MD 20815-4616
(571) 888-9213
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD475688
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2018
Last updated
10/14/2021
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