Individual
DR. ROSS IRA WANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 S. 10TH STREET, DEPARTMENT OF RADIOLOGY 1087 MAIN BLDG., PHILADELPHIA, PA 19107-5244
(917) 301-1737
Mailing address
1411 WALNUT ST, APARTMENT 403, PHILADELPHIA, PA 19102-3129
(917) 301-1737
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MT191722
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MT191722
PA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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