Individual
MR. ITZHAK MEDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 CAROL LN, RICHBORO, PA 18954-1307
(443) 676-2585
Mailing address
505 NOSTRAND AVE, BROOKLYN, NY 11216-2015
(718) 622-4444
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
231274-1
NY
Other
Enumeration date
12/13/2008
Last updated
08/31/2017
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