Individual
IGNACIO JUANEDA RUIZ FUNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34TH & CIVIC CENTER BLVD, DEPARTMENT OF CT SURGERY, PHILADELPHIA, PA 19104
(215) 590-2709
Mailing address
34TH & CIVIC CENTER BLVD, DEPARTMENT OF CT SURGERY, PHILADELPHIA, PA 19104
(215) 590-2709
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MT203019
PA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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