Individual
SANDI MAE VIVIENNE SEE TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ERIE AVE AT FRONT ST, PHILADELPHIA, PA 19134
(215) 427-5190
Mailing address
780 S PARK DR, HADDON TOWNSHIP, NJ 08108-2236
(856) 854-6655
(484) 865-4355
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MD063599L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018649460001
—
PA
Enumeration date
03/14/2007
Last updated
07/08/2007
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