Individual
GHAZAL ZEKAVAT QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Mailing address
3400 SPRUCE ST, 5 WHITE, PHILADELPHIA, PA 19104-4238
(215) 662-2638
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD470935
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT209174
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2015
Last updated
10/03/2020
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