Individual
MALA RASTOGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
ERIE AVENUE AT FRONT STREET, ST.CHRISTOPHERS HOSPITAL, PHILADELPIA, PA 19134
(215) 427-5220
Mailing address
414 CONLIN RD, PLYMOUTH MEETING, PA 19462-1258
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
OS014117
PA
Other
Enumeration date
03/29/2007
Last updated
03/23/2017
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