Individual
HOSSEIN BORGHAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 728-3639
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-2500
(215) 728-3639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OS009600
PA
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
Primary
OS009600L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010584560001
—
PA
Enumeration date
02/28/2006
Last updated
04/09/2018
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