Individual
DR. MASOUD EDALATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(310) 666-2647
Mailing address
347 ZANE AVE, JENKINTOWN, PA 19046
(310) 666-2647
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT229640
PA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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