Organization
JAVAD ABDOLLAHIAN MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVAD ABDOLLAHIAN (PHYSICIAN/OWNER)
(215) 289-8832
Entity
Organization
Contact information
Practice address
1411 HARRISON ST, PHILADELPHIA, PA 19124-5932
(215) 289-8832
(215) 289-3497
Mailing address
1411 HARRISON ST, PHILADELPHIA, PA 19124-5932
(215) 289-8832
(215) 289-3497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD029443L
PA
207RC0000X
Cardiovascular Disease Physician
MD029443L
PA
Other
Enumeration date
11/12/2007
Last updated
11/16/2007
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