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Individual

DR. REZA MADANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1740 SOUTH ST, SUITE 301, PHILADELPHIA, PA 19146-1514
(215) 735-5600
(215) 735-5690
Mailing address
2001 HAMILTON ST, APT E5, PHILADELPHIA, PA 19130-4201
(215) 219-8451

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD442322
PA
208000000X
Pediatrics Physician
MT192992
PA

Other

Enumeration date
06/25/2008
Last updated
07/06/2011
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