Individual
PETER D SANANMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, OCC MEDICINE, PHILADELPHIA, PA 19104-2640
(215) 662-8268
Mailing address
5501 OLD YORK RD, PHILA, PA 19141-3018
(215) 456-6679
(215) 456-8502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD421382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232664784
TAX ID #
PA
Enumeration date
06/05/2006
Last updated
03/26/2014
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