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Individual

DR. DAVID J. AXELROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
833 CHESTNUT ST, SUITE 701, PHILADELPHIA, PA 19107-4414
(215) 955-6180
(215) 955-6410
Mailing address
833 CHESTNUT ST, SUITE 701, PHILADELPHIA, PA 19107-4414

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-422103
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010308
NJ
05
001969017
PA
Enumeration date
07/18/2006
Last updated
03/24/2015
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