Organization
ALLA SHPANER MD,PC
Active
Parent organization
ALLA SHPANER MD,PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLA SHPANER MD,PC
Authorized official
DR. ALLA SHPANER MD (PRESIDENT)
(215) 676-4948
Entity
Organization
Contact information
Practice address
2375 WOODWARD ST, PHILADELPHIA, PA 19115-5120
(215) 676-4948
(215) 676-8858
Mailing address
2375 WOODWARD ST, PHILADELPHIA, PA 19115-5120
(215) 676-4948
(215) 676-8858
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD067856L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001740475002
—
PA
Enumeration date
02/29/2008
Last updated
02/29/2008
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