Mary Larijani, MD | |
3401 Civic Center Blvd, Division Of Dermatology, Philadelphia, PA 19104 | |
(215) 590-2169 | |
Not Available |
Full Name | Mary Larijani |
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Gender | Female |
Speciality | Dermatology |
Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518352913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD466723 (Pennsylvania) | Secondary |
Entity Name | Childrens Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
Entity Name | Montgomery Dermatology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124260211 PECOS PAC ID: 8921156282 Enrollment ID: O20090427000216 |
Mailing Address | Practice Location Address |
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Mary Larijani, MD 2145 South St Apt 501, Philadelphia, PA 19146-2088 Ph: (610) 864-8972 | Mary Larijani, MD 3401 Civic Center Blvd, Division Of Dermatology, Philadelphia, PA 19104 Ph: (215) 590-2169 |
Dr. Nicholas Kian Mollanazar, MD, MBA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 2 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-7366 | |
Dr. Melinda Jen, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3550 Market St Fl 2, Children's Hospital Of Philadelphia - Dermatology Div, Philadelphia, PA 19104 Phone: 215-590-9119 Fax: 215-590-4948 | |
Vanessa Ayumi London, MD, MS Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9501 Roosevelt Blvd, Suite 508, Philadelphia, PA 19114 Phone: 215-464-7400 Fax: 215-464-8680 | |
Stephen David Hess, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Walnut St, Suite 1240, Philadelphia, PA 19102 Phone: 267-687-4437 | |
Dr. Douglas Kligman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8815 Germantown Ave, Suite 30, Philadelphia, PA 19118 Phone: 215-242-4680 Fax: 215-242-3938 | |
Shobana Sood, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104 Phone: 215-662-2737 Fax: 215-349-8339 | |
Juliana Kim Choi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3600 Spruce St, 2 Maloney Bldg, Philadelphia, PA 19104 Phone: 215-662-6151 |