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Individual

ROBERT H VONDERHEIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 349-8144
Mailing address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 349-8144

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD417436
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001870999001
PA
Enumeration date
06/14/2006
Last updated
04/03/2012
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