Individual
DONALD N TAVAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 PRESIDENTIAL BLVD, SUITE C132, BALA CYNWYD, PA 19004-1207
(610) 664-5182
Mailing address
191 PRESIDENTIAL BLVD, SUITE C132, BALA CYNWYD, PA 19004-1207
(610) 664-5182
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD432154
PA
Other
Enumeration date
12/29/2006
Last updated
07/30/2012
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