Individual
DR. ABDOLMOHAMAD ROSTAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 WALNUT ST, PHILADELPHIA, PA 19107-5509
(215) 955-1234
(215) 955-3504
Mailing address
615 CHESTNUT ST, 14TH FLR., PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD037065L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000892070
—
PA
05
—
2250608
—
NJ
Enumeration date
07/15/2006
Last updated
06/06/2011
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