Individual
ANAHITA F DEBOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3040
(215) 707-8235
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3040
(215) 707-8235
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD069435L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001900363
—
PA
Enumeration date
05/08/2006
Last updated
12/07/2016
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