BENCHAA BOUALAM

PHILADELPHIA, PA
NPI1669232104
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-21
Last Update Date2024-03-21
Business Address
BENCHAA BOUALAM MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 240-515-5528
Mailing Address
BENCHAA BOUALAM MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 240-515-5528
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