Individual
DR. DAVID RANDOM MANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5864
(215) 707-6867
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5864
(215) 707-6867
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
295834
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD443773
PA
207RP1001X
Pulmonary Disease Physician
295834
NY
207RP1001X
Pulmonary Disease Physician
Primary
MD443773
PA
Other
Enumeration date
04/06/2009
Last updated
04/17/2024
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