Individual
ADITI VASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BOULEVARD, 9 NW, ROOM 55, THE CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4399
(215) 590-1220
Mailing address
3401 CIVIC CENTER BOULEVARD, 9 NW, ROOM 55, THE CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4399
(215) 590-1220
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT208141
PA
Other
Enumeration date
02/12/2013
Last updated
06/08/2015
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