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Individual

RYAN NACHWALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
(215) 955-6864
Mailing address
200 W WASHINGTON SQ APT 3601, PHILADELPHIA, PA 19106-3569
(973) 713-0987

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT226760
PA

Other

Enumeration date
05/31/2022
Last updated
05/31/2022
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