Individual
DR. MANIJEH BAHREMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1632 PINE ST, PHILADELPHIA, PA 19103-6711
(215) 670-5843
(215) 735-7991
Mailing address
PO BOX 380, SELLERSVILLE, PA 18960-0380
(215) 723-2333
(215) 257-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD053472L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015238940002
—
PA
Enumeration date
08/11/2006
Last updated
03/28/2016
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