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Individual

DESLYN MANCINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3008
(215) 707-1387
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3008
(215) 707-1387

Taxonomy

Speciality
Code
Description
License number
State
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
Primary
MD064295L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001696680
PA
Enumeration date
08/31/2006
Last updated
10/25/2011
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