Individual
ELLIKA MARJAN SALARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
117 SOUTH 11TH STREET, 204 PAVILLION, PHILADELPHIA, PA 19107
(215) 503-3876
Mailing address
117 S 11TH ST, 204 PAVILION, PHILADELPHIA, PA 19107-4949
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT221126
PA
208600000X
Surgery Physician
MT221126
PA
Other
Enumeration date
04/17/2020
Last updated
05/12/2022
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