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Individual

DR. LEA ANNE MOUKARZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5501 OLD YORK RD STE 3, PHILADELPHIA, PA 19141-3018
(215) 456-7180
(215) 456-7052
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4410
MD
207VX0201X
Gynecologic Oncology Physician
Primary
MD477353
PA

Other

Enumeration date
05/23/2014
Last updated
06/04/2024
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