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Individual

DR. GINA MARIE MANTIA-SMALDONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 214-3779
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD429848
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD429848
STATE MEDICAL LICENSE #
PA
Enumeration date
06/24/2007
Last updated
04/12/2018
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