Individual
FARZANA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 COLIMA RD, PHILADELPHIA, PA 19115-4205
(215) 821-5572
Mailing address
3401 CIVIC CTR BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
SP016939
PA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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