Individual
ILAN S BEN-AMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3467
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT228796
PA
Other
Enumeration date
06/09/2023
Last updated
07/23/2024
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