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1386984847
DAIZO TANAKA
PHILADELPHIA, PA
NPI
1386984847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: PA MD447672)
Enumeration Date
2013-02-21
Last Update Date
2015-10-26
Business Address
Dr. DAIZO TANAKA M.D.
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6000
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Mailing Address
Dr. DAIZO TANAKA M.D.
1025 WALNUT ST 605
PHILADELPHIA, PA 19107-5001
Phone number: 215-519-5117
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