Individual
CHARLES DAVID ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 CIVIC CENTER BLVD., DIVISION OF PEDIATRIC NEPHROLOGY, PHILADELPHIA, PA 19104-5812
(215) 590-2449
Mailing address
3401 CIVIC CENTER BLVD., DIVISION OF PEDIATRIC NEPHROLOGY, PHILADELPHIA, PA 19104-5812
(215) 590-2449
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MT228058
PA
Other
Enumeration date
03/26/2019
Last updated
06/29/2023
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