Individual
NOSHEEN REZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 55 FRUIT ST., PHILADELPHIA, PA 19104-4238
(617) 726-2865
Mailing address
3400 SPRUCE ST, 55 FRUIT ST., PHILADELPHIA, PA 19104-4238
(617) 726-2865
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD455799
PA
207RC0000X
Cardiovascular Disease Physician
MD455799
PA
Other
Enumeration date
06/08/2012
Last updated
02/04/2022
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