Organization
MARLOWE ZWILLENBERG & GHADERI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD GHADERI DO (MANAGING PARTNER)
(856) 423-7700
Entity
Organization
Contact information
Practice address
100 W SPROUL RD STE 220, SPRINGFIELD, PA 19064-2033
(610) 328-4800
Mailing address
175 W COHAWKIN RD STE C, CLARKSBORO, NJ 08020-1145
(856) 423-7700
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017290010
—
PA
01
—
CI6622
RAIL ROAD MEDICARE
PA
Enumeration date
04/13/2006
Last updated
04/11/2014
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