Individual
TAKAHIRO IGNACIO NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 CENTRAL AVE, MALVERN, PA 19355-3265
(610) 234-7900
Mailing address
325 CENTRAL AVE, MALVERN, PA 19355-3265
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
483847
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13-3971298
—
NY
Enumeration date
05/16/2018
Last updated
08/06/2024
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