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1114906302
SHOTARO IMAIZUMI
WYNNEWOOD, PA
NPI
1114906302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: PA MD026155E)
Enumeration Date
2006-01-16
Last Update Date
2007-07-08
Business Address
-- SHOTARO IMAIZUMI M.D.
100 E LANCASTER AVE
WYNNEWOOD, PA 19096-3450
Phone number: 610-645-2613
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Mailing Address
-- SHOTARO IMAIZUMI M.D.
100 E LANCASTER AVE
WYNNEWOOD, PA 19096-3450
Phone number: 610-645-2613
Copy
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