Individual
DR. RAMIN BAHRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 463-4141
(215) 463-7616
Mailing address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 463-4141
(215) 463-7616
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS030599L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1954168
—
PA
Enumeration date
09/01/2006
Last updated
07/08/2007
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