Individual
DR. KASSAYE DEMOZE FIRDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST # B248, PHILADELPHIA, PA 19140-5103
(215) 707-3467
Mailing address
3401 N BROAD ST FL 2, PHILADELPHIA, PA 19140-5189
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT229879
PA
Other
Enumeration date
11/01/2023
Last updated
11/08/2023
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