Individual
DAVID MENASSAH RAIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3624 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104-2614
(215) 662-7772
(215) 349-8038
Mailing address
3624 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104-2614
(215) 662-7772
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD072454L
PA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
MD072454L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008441910001
—
PA
Enumeration date
07/24/2006
Last updated
08/07/2015
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