Individual
MICHAEL J CANINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 S BROAD ST, SUITE 600, PHILADELPHIA, PA 19102-4121
(215) 893-0141
Mailing address
230 S BROAD ST, SUITE 600, PHILADELPHIA, PA 19102-4121
(215) 893-0141
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD440897
PA
Other
Enumeration date
06/19/2008
Last updated
09/03/2013
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