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Individual

ALBA VIDAL RONCHAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT234595
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/10/2024
Last updated
06/10/2025
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