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Individual

DR. LEWIS M. FREDANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1815 JOHN F KENNEDY BLVD, #2812, PHILADELPHIA, PA 19103-1731
(215) 563-4449
Mailing address
1815 JOHN F KENNEDY BLVD, #2812, PHILADELPHIA, PA 19103-1731
(215) 563-4449

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD038589E
PA

Other

Enumeration date
06/26/2008
Last updated
06/26/2008
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