Individual
DR. NEETU B VASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
255 S 17TH ST STE 1104, PHILADELPHIA, PA 19103-6212
(215) 515-5999
(215) 545-1384
Mailing address
255 S 17TH ST STE 1104, PHILADELPHIA, PA 19103-6212
(215) 515-5999
(215) 545-1384
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
25MA10664500
NJ
207KA0200X
Allergy Physician
Primary
MD468870
PA
207R00000X
Internal Medicine Physician
MD468870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0074868
MD LICENSE
MD
Enumeration date
05/29/2007
Last updated
11/01/2019
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