KOHTAROH BRIAN TAKAMURA

PHILADELPHIA, PA
NPI1932559200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  OT017293)
Enumeration Date2016-06-17
Last Update Date2016-06-18
Business Address
-- KOHTAROH BRIAN TAKAMURA D.O.
230 N BROAD ST MS #623
PHILADELPHIA, PA 19102-1121
Phone number: 215-762-2618
Mailing Address
-- KOHTAROH BRIAN TAKAMURA D.O.
230 N BROAD ST MS #623
PHILADELPHIA, PA 19102-1121
Phone number: 215-762-2618