Individual
AVILASH MONDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152
(267) 350-7403
Mailing address
2601 HOLME AVE, PHILADELPHIA, PA 19152
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
02/14/2023
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