DOMINGO ERNESTO UCEDA

PHILADELPHIA, PA
NPI1437730611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-19
Last Update Date2021-04-19
Business Address
DOMINGO ERNESTO UCEDA MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-316-5151
Mailing Address
DOMINGO ERNESTO UCEDA MD
585 ROSE BORDER DR
ROSWELL, GA 30075-7156
Phone number: 678-502-6690