Individual
DR. LAURENCE NEEDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-2900
(215) 923-1562
Mailing address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-2900
(215) 923-1562
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD028964E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000952202
—
PA
05
—
6379001
—
NJ
Enumeration date
07/14/2006
Last updated
03/16/2015
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