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Individual

GAYATRI C MANIAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9807 BUSTLETON AVE, PHILADELPHIA, PA 19115-3212
(215) 676-2200
Mailing address
9807 BUSTLETON AVE, PHILADELPHIA, PA 19115-3212
(215) 676-2200

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD433006
PA
207V00000X
Obstetrics & Gynecology Physician
TP842
KY

Other

Enumeration date
05/27/2008
Last updated
07/11/2012
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