Conrad, Rebecca S

Conrad, Rebecca S is an individual health care provider with primary practice located at 2230 Cottman Ave , Philadelphia PA 19149-1230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Conrad, Rebecca S can be contacted via phone (215) 685-0639.

Contact Information

Primary practice address
2230 Cottman Ave Philadelphia PA 19149-1230
Phone: (215) 685-0639
Fax: (215) 725-4877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD015478E Pennsylvania

Profile Details

NPI number 1932267374
LBN Legal business name Conrad, Rebecca S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932267374 NPPES
Pennsylvania MEDICAID 1552161

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