Individual
MAHMOUD GHADERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1501 LANSDOWNE AVE STE 209, DARBY, PA 19023-1333
(484) 494-5595
Mailing address
175 W COHAWKIN RD STE C, CLARKSBORO, NJ 08020-1145
(856) 423-7700
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OS008674L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018130520010
—
PA
Enumeration date
01/29/2006
Last updated
03/10/2014
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