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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1891717146 NPPES
Pennsylvania MEDICAID 1008441910001

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