Individual
KAORU TAKASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HEMATOLOGY/ONCOLOGY, PHILADELPHIA, PA 19104-4319
(267) 425-3035
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HEMATOLOGY/ONCOLOGY, PHILADELPHIA, PA 19104-4319
(267) 425-3035
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MT217946
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
06/25/2019
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