Individual
MICHAEL JEFFREY GANDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3535 MARKET ST FL 2, PHILADELPHIA, PA 19104-3317
(215) 746-6701
(215) 756-7350
Mailing address
3535 MARKET ST FL 2, PHILADELPHIA, PA 19104-3317
(215) 746-6701
(215) 756-7350
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD477811
PA
Other
Enumeration date
04/03/2013
Last updated
09/15/2022
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