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1104500420
MASOUD EDALATI
PHILADELPHIA, PA
NPI
1104500420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: PA MT229640)
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
Dr. MASOUD EDALATI MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 310-666-2647
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Mailing Address
Dr. MASOUD EDALATI MD
347 ZANE AVE
JENKINTOWN, PA 19046
Phone number: 310-666-2647
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