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Individual

DR. YUSEF OMARI MORANT-WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
245 N 15TH ST, MS 495, PHILADELPHIA, PA 19102-1101
(215) 762-8220
(215) 762-1470
Mailing address
1802 PINE ST, PHILADELPHIA, PA 19103-6641
(615) 305-7589
(215) 762-1470

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MT189751
PA

Other

Enumeration date
08/05/2009
Last updated
08/05/2009
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