Individual
RYUTA TANIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 WALNUT ST, SUITE 1112, PHILADELPHIA, PA 19107-5001
(215) 955-2662
Mailing address
1025 WALNUT ST, SUITE 1112, PHILADELPHIA, PA 19107-5001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD448925
PA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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