Individual
DR. MAZIYAR DANESHVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ROWANSOM 42 E LAUREL ROAD, SUITE 3100, PHILADELPHIA, NJ 08084
(856) 566-2753
Mailing address
1050 N HANCOCK ST, PHILADELPHIA, PA 19123-2342
(914) 837-2842
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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