Individual
DR. SASHA JOB THARAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, CHILDRENS HOSPITAL OF PHILADELPHIA (CHOP), PHILADELPHIA, PA 19104-5127
(215) 590-1000
Mailing address
1512 SPRUCE ST, APT 2603, PHILADELPHIA, PA 19102-4524
(215) 738-2521
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MT200598
PA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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