Individual
ANDRES DEIK ACOSTA MADIEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE STREET, PHILADELPHIA, PA 19107
(215) 829-6500
Mailing address
330 S. 9TH STREET, PHILADELPHIA, PA 19107
(215) 829-6500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD443351
PA
Other
Enumeration date
07/01/2008
Last updated
04/01/2016
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