Individual
DR. BINYAM BERHANU FENTAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(800) 836-7536
Mailing address
179 ROYAL OAKS BLVD APT I10, FRANKLIN, TN 37067-3029
(240) 424-8721
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT230859
PA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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