Individual
ABIA ABIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 SPRUCE ST BSMT WEST, PHILADELPHIA, PA 19106-4022
(215) 829-3358
(215) 829-3438
Mailing address
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-6698
(215) 662-3953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD480310
PA
Other
Enumeration date
12/16/2016
Last updated
11/05/2025
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