Individual
KEITH W PRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2 WEST, PHILADELPHIA, PA 19104-5127
(215) 615-0063
(215) 349-8144
Mailing address
3400 CIVIC CENTER BLVD, 2 WEST, PHILADELPHIA, PA 19104-5127
(215) 615-0063
(215) 349-8144
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
D0064483
MD
207RH0003X
Hematology & Oncology Physician
Primary
MD467231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130187000
—
MN
05
—
417498400
—
MD
Enumeration date
01/13/2006
Last updated
09/16/2019
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