Individual
ALLA SHPANER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2375 WOODWARD ST, PHILADELPHIA, PA 19115-5120
(215) 676-4947
(215) 676-8858
Mailing address
2375 WOODWARD ST, PHILADELPHIA, PA 19115-5120
(215) 676-4947
(215) 676-8858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD067856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001740475002
—
PA
Enumeration date
07/07/2005
Last updated
07/08/2007
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