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Individual

DR. XIAOMANG BA STICKLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 E LANCASTER AVE, SUIE 661 MOB EAST, WYNNEWOOD, PA 19096-3450
(610) 649-8085
(610) 649-8984
Mailing address
100 E LANCASTER AVE, SUIE 661 MOB EAST, WYNNEWOOD, PA 19096-3450
(610) 649-8085
(610) 649-8984

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MD456620
PA

Other

Enumeration date
05/05/2008
Last updated
09/12/2016
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