Individual
CANDACE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-4557
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-4557
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MT202358
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MT202358
PA
Other
Enumeration date
06/10/2012
Last updated
06/26/2016
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