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Individual

DR. FATHI ELGADDARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-1014
Mailing address
35 E 85TH ST APT 1N, NEW YORK, NY 10028-0984
(646) 226-2477

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
061942
NY

Other

Enumeration date
02/11/2016
Last updated
01/14/2025
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