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Individual

RONAC MAMTANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BLVD, 2 WEST, PHILADELPHIA, PA 19104-5127
(215) 615-5858
Mailing address
3400 CIVIC CENTER BLVD, 2 WEST, PHILADELPHIA, PA 19104-5127
(215) 615-5858

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD445930
PA
207RX0202X
Medical Oncology Physician
Primary
MD445930
PA

Other

Enumeration date
05/21/2008
Last updated
09/19/2019
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