Individual
LIJO ILLIPPARAMBIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(157) 075-8642
(215) 707-5149
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(157) 075-8642
(215) 707-5149
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD477547
PA
Other
Enumeration date
03/31/2016
Last updated
09/12/2022
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