Individual
DR. SUSAN B RAGONESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2527 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19148-4309
(215) 755-4640
(215) 755-4576
Mailing address
2527 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19148-4309
(215) 755-4640
(215) 755-4576
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD030257E
PA
Other
Enumeration date
04/27/2006
Last updated
06/13/2012
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