Individual
MRS. DESPINA TSIRAKOGLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
300 PHEASANT LANE, NEWTOWN SQUARE, PA 19073
(610) 570-9532
(610) 325-0828
Mailing address
300 PHEASANT LANE, NEWTOWN SQUARE, PA 19073
(610) 570-9532
(610) 325-0828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS-007639-L
PA
207Q00000X
Family Medicine Physician
Primary
OS-007639L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001431139001
—
PA
Enumeration date
04/11/2006
Last updated
05/24/2024
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