Individual
KRISTOFFEL DIRK ANN RUEBEN DUMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 4 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-2626
Mailing address
3400 SPRUCE ST, 4 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-2626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD423163
PA
Other
Enumeration date
07/16/2006
Last updated
07/25/2014
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