Individual
PRITHA DEWANJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-5437
(215) 707-5180
Mailing address
3500 N. BROAD STREET ROOM 001A, PHILADELPHIA, PA 19140-4106
(215) 926-9022
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS022454
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2019
Last updated
09/27/2022
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