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CARLOS SAN PEDRO MADAMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(856) 906-6273
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(856) 906-6273

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA05508600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6042201
NJ
Enumeration date
07/06/2005
Last updated
09/07/2016
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