Individual
DAVID GABRIEL PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OT015466
PA
Other
Enumeration date
08/14/2013
Last updated
09/25/2013
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