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Individual

GHASSEM KALANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
191 PRESIDENTIAL BLVD, SUITE W1A, BALA CYNWYD, PA 19004-1207
(610) 668-1575
Mailing address
244 OLD LANCASTER RD, PO BOX 160, MERION STATION, PA 19066-1750
(610) 667-1214

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD034579E
PA

Other

Enumeration date
06/29/2007
Last updated
07/08/2007
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