Individual
MEGURU WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6440
Mailing address
275 S BRYN MAWR AVE, E52, BRYN MAWR, PA 19010-4202
(610) 955-5111
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
MD428266
PA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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