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1306451695
FARZAD NOUROLLAH-ZADEH
PHILADELPHIA, PA
NPI
1306451695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
125Q00000X Oral Medicine
(Licence: PA 23-1352685)
Enumeration Date
2020-09-13
Last Update Date
2020-09-13
Business Address
FARZAD NOUROLLAH-ZADEH
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-5127
Phone number: 267-307-3827
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Mailing Address
FARZAD NOUROLLAH-ZADEH
105 S 41ST ST
PHILADELPHIA, PA 19104-3018
Phone number: 267-366-9949
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