Individual
JOHNATHAN ISSAC SADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 OLD YORK RD BLDG SUITE510, PHILADELPHIA, PA 19141-3030
(215) 456-3443
Mailing address
5401 OLD YORK RD BLDG SUITE510, PHILADELPHIA, PA 19141-3030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT223900
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
06/22/2021
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