Individual
IMA PAYDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 662-2428
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-2428
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD464639
PA
Other
Enumeration date
04/30/2013
Last updated
07/24/2018
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