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Individual

MANOJ AMRUT SHIRODKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD072224L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010194490001
PA
Enumeration date
06/20/2006
Last updated
01/09/2015
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