Surya K Vangore M.D.

NPI 1043279524 - Family Medicine - 207Q00000X

NPI Details
NPI 1043279524
Gender Female
Enumeration Date 03/22/2006
Last Updated 11/05/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
431 W ROOSEVELT BLVD
PHILADELPHIA PA, 19120-4148, US
Phone (215) 455-3444
Fax (215) 455-3445
Business Location
431 W ROOSEVELT BLVD
PHILADELPHIA PA, 19120-4148, US
Phone (215) 455-3444
Fax (215) 455-3445
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MD038910L
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According to our database, Dr. Surya K Vangore M.D. NPI is 1043279524, taxonomy code is 207Q00000X and license number is MD038910L, license state is located at Pennsylvania. Surya K Vangore M.D. physically located at 431 W Roosevelt Blvd, Philadelphia PA, 19120-4148. NPI Number Surya K Vangore M.D. has the Individual type.

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1043279524 NPI number is provided on an as is basis without warranty of any kind. 1043279524 is maintained by the National Plan & Provider Enumeration System. The contents of Surya K Vangore M.D. are for informational purposes only.