Individual
ABRAHAM SHAKED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 4 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104
(215) 662-2050
Mailing address
3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 19104
(215) 662-6723
(215) 662-2244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD054980L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015262050
—
PA
Enumeration date
07/04/2006
Last updated
04/06/2016
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