Raizen, David Menassah
Raizen, David Menassah is an individual health care provider with primary practice located at 3624 Market St 2Nd Floor, Philadelphia PA 19104-2614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Raizen, David Menassah can be contacted via phone (215) 662-7772.Contact Information
Primary practice address
3624 Market St 2Nd Floor
Philadelphia PA 19104-2614
Phone: (215) 662-7772
Fax: (215) 349-8038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD072454L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | MD072454L | Pennsylvania |
Profile Details
| NPI number | 1891717146 |
|---|---|
| LBN Legal business name | Raizen, David Menassah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Aug 7th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891717146 | NPPES |
| Pennsylvania | MEDICAID | 1008441910001 |
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