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Individual

DATTATREYA M PHADKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4558
(484) 526-4592
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4558
(484) 526-4592

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301073753
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD450758
PA

Other

Enumeration date
06/01/2006
Last updated
02/12/2014
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