Individual
YANIV DOTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D / PH.D
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 309-1066
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 309-1066
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MT209605
PA
207RP1001X
Pulmonary Disease Physician
Primary
MT209605
PA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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