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Individual

MEHRET MANDEFRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
34TH & CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
(215) 977-8864
Mailing address
100 N 20TH ST STE 301, CHCA, PHILADELPHIA, PA 19103-1454
(215) 567-2422
(215) 561-0959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD434461
PA

Other

Enumeration date
06/11/2008
Last updated
06/11/2008
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