Individual
DR. MAURO ANTONIO DISPAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 SOUTH 9TH STREET, SUITE 703, DEPARTMENT OF UROLOGY, PHILADELPHIA, PA 19107-5001
(215) 955-1000
(215) 503-2066
Mailing address
1025 WALNUT ST STE 1100, PHILADELPHIA, PA 19107-5001
(215) 955-1416
(215) 923-1884
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MT222952
PA
Other
Enumeration date
05/06/2021
Last updated
09/29/2021
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