Individual
DR. TOMOKI NOMAKUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, 9NW, ROOM 55, PHILADELPHIA, PA 19104-4319
(215) 590-1220
Mailing address
3401 CIVIC CENTER BLVD, 9NW, ROOM 55, PHILADELPHIA, PA 19104-4319
(215) 590-1220
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT215188
PA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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