Individual
PROF. BIJAN ETEMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 WISTAR RD, VILLANOVA, PA 19085-1512
(215) 898-4301
(215) 898-0509
Mailing address
15 WISTAR RD, VILLANOVA, PA 19085-1512
(215) 898-4301
(215) 898-0509
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MD32639L
PA
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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