Individual
MERSEDEH ROHANIZADEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD., 1ST FLR, STE 300S, PHILADELPHIA, PA 19104-4306
(215) 662-4710
(215) 614-0298
Mailing address
3400 SPRUCE ST STE 5100, PHILADELPHIA, PA 19104-4238
(215) 662-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD479123
PA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD479123
PA
Other
Enumeration date
06/27/2012
Last updated
05/09/2023
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