Individual
KENJI MINAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3946
Mailing address
202 PARK BLVD, APT 317, CHERRY HILL, NJ 08002-3473
(215) 707-8484
(215) 707-3946
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD440387
PA
Other
Enumeration date
08/04/2010
Last updated
10/14/2021
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