Individual
DR. LUIS ANGEL TABOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT STREET, SUITE 701, PHILADELPHIA, PA 19107-4414
(215) 955-6180
(215) 955-6410
Mailing address
833 CHESTNUT STREET, SUITE 701, PHILADELPHIA, PA 19107-4414
(215) 955-6180
(215) 955-6410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD439596
PA
207R00000X
Internal Medicine Physician
MT190941
PA
Other
Enumeration date
06/07/2007
Last updated
12/16/2014
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