Individual
DR. BABAK ETEMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E LANCASTER AVE STE 560, WYNNEWOOD, PA 19096
(484) 476-8390
(484) 476-7841
Mailing address
100 E LANCASTER AVE STE 560, WYNNEWOOD, PA 19096-3450
(484) 476-8390
(484) 476-7841
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD049259L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1185345
—
LA
Enumeration date
05/01/2006
Last updated
06/29/2018
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