Individual
DR. BANAFSHEH LOTFI MOGHADDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 W WASHINGTON ST, BRADFORD, PA 16701-1280
(814) 368-1000
(814) 368-1008
Mailing address
24 W WASHINGTON ST, BRADFORD, PA 16701-1280
(814) 368-1000
(814) 368-1008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD461587
PA
Other
Enumeration date
06/11/2014
Last updated
11/06/2020
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