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Individual

DR. RITA S. AXELROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
(215) 955-2340
Mailing address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD015826E
PA
207RH0000X
Hematology (Internal Medicine) Physician
MD015826E
PA
207RX0202X
Medical Oncology Physician
Primary
MD015826E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000751661
PA
05
0296309
NJ
Enumeration date
07/24/2006
Last updated
02/28/2014
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