Organization
FRED TEHRANI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED TEHRANI MD (PRESIDENT)
(215) 624-2303
Entity
Organization
Contact information
Practice address
6521 FRANKFORD AVE, PHILADELPHIA, PA 19135-2538
(215) 624-2303
(215) 624-2577
Mailing address
6521 FRANKFORD AVE, PHILADELPHIA, PA 19135-2538
(215) 624-2303
(215) 624-2577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022630210001
—
PA
Enumeration date
01/20/2009
Last updated
05/01/2009
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