Individual
MARY DHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 HENRY AVE, ONE FALLS CENTER, PHILA, PA 19129-1121
(215) 842-7415
(215) 848-1355
Mailing address
3300 HENRY AVE, PHILA, PA 19129-1121
(215) 842-7415
(215) 848-1355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD021505E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001613919
—
PA
01
—
0161391904
AMERICHOICE
PA
01
—
431154
HIGHMARK BLUE SHIELD
PA
01
—
5839038
AETNA PPO
PA
01
—
9799707
CIGNA
PA
Enumeration date
12/15/2005
Last updated
07/26/2011
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