Individual
DR. UBALDO EMILIO MARTINEZ OUTSCHOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
(215) 955-2340
Mailing address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT182097
PA
207RX0202X
Medical Oncology Physician
Primary
MD430368
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233790
—
NJ
05
—
102481441
—
PA
Enumeration date
05/18/2007
Last updated
12/16/2014
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