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Individual

DR. DANA L SHANIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3701 MARKET, 3RD FL, PHILADELPHIA, PA 19104
(215) 662-6035
Mailing address
1632 PINE ST, PHILADELPHIA, PA 19103-6711
(215) 735-7992

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD446314
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/09/2008
Last updated
10/17/2024
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