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Individual

JALAL BADIE JALALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000
(215) 829-7564
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000
(215) 829-7564

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD456925
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD456925
PA

Other

Enumeration date
06/30/2012
Last updated
10/28/2019
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