Individual
OBY IBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-3297
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(908) 644-5223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA12095000
NJ
207R00000X
Internal Medicine Physician
MD483846
PA
207RC0000X
Cardiovascular Disease Physician
25MA12095000
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MD483846
PA
Other
Enumeration date
04/18/2018
Last updated
03/31/2025
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