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Individual

SUMITA ROY-GHANTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, 1 MALONEY BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-3957
Mailing address
3400 SPRUCE ST, 1 MALONEY BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-3957

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MT186170
PA

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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