Individual
ROA ALQABBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT216034
PA
Other
Enumeration date
06/06/2018
Last updated
07/05/2019
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