Individual
WAFIK EL DEIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5435
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
MD054226L
PA
207RH0003X
Hematology & Oncology Physician
MD054226L
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD16548
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014975600001
—
PA
Enumeration date
06/11/2006
Last updated
06/07/2019
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