Individual
DR. MONIQUE S TANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA 19104-5127
(215) 615-4949
(215) 615-0829
Mailing address
3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA 19104-5127
(215) 615-4949
(215) 615-0829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD461231
PA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD461231
PA
207RC0000X
Cardiovascular Disease Physician
MD461231
PA
207RI0011X
Interventional Cardiology Physician
MD461231
PA
Other
Enumeration date
07/30/2011
Last updated
09/25/2019
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