Individual
DR. REBECCA A DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF RADIOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1959
Mailing address
1601 VINE ST APT 505, PHILADELPHIA, PA 19102-1103
(918) 760-6070
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
OT015140
PA
2085R0202X
Diagnostic Radiology Physician
Primary
5549
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2013
Last updated
09/09/2019
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