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Individual

MAUSAM RAJESH DAMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-8069
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-8069

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MT200964
PA

Other

Enumeration date
05/09/2012
Last updated
11/30/2021
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