Individual
DR. ADA IRIS CANINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
321 W GIRARD AVE, HEALTH CARE CENTER #6, PHILADELPHIA, PA 19123-1531
(215) 685-3803
(215) 685-3848
Mailing address
500 S BROAD ST, SUITE 360, PHILADELPHIA, PA 19146-1613
(215) 685-6769
(215) 685-6732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD019222E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006912310003
—
PA
Enumeration date
08/11/2006
Last updated
07/08/2007
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