Individual
DOUGLAS SAFORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 426-3574
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1440
(404) 778-1401
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MT230631
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/16/2019
Last updated
06/26/2024
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