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1629456074
PRABA BOOMINATHAN
PHILADELPHIA, PA
NPI
1629456074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
(Licence: PA MD468544)
Enumeration Date
2015-05-18
Last Update Date
2022-06-21
Business Address
PRABA BOOMINATHAN MD
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4206
Phone number: 215-349-8310
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Mailing Address
PRABA BOOMINATHAN MD
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4206
Phone number: 215-349-8310
Copy
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