Individual
PATRICIA A TAKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 N 39TH ST, MUTCH BUILDING, 5TH FLOOR, PHILADELPHIA, PA 19104-2640
(215) 662-2775
(215) 615-5055
Mailing address
51 N 39TH ST, MUTCH BUILDING, 5TH FLOOR, PHILADELPHIA, PA 19104-2640
(215) 662-2775
(215) 615-5055
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD431875
PA
207KA0200X
Allergy Physician
MD431875
PA
207R00000X
Internal Medicine Physician
MD431875
PA
Other
Enumeration date
07/16/2006
Last updated
04/04/2012
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