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Gerald Lane Devaughn, MD
Cardiovascular Disease Physician in Philadelphia, Pennsylvania
NPI 1578636072

Gerald Lane Devaughn is a Cardiovascular Disease Physician based in Philadelphia, PA and is specialized in Cardiovascular Disease. Gerald Lane Devaughn practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Gerald Lane Devaughn is 1578636072 and holds a License No. MD024220E (Pennsylvania).

The current practice location address for Gerald Lane Devaughn is 5249 Cedar Ave, Philadelphia, PA and can be reached out via phone at 215-471-1817 and via fax at 215-471-5089.

Location: 5249 Cedar Ave, Philadelphia, PA, 19143-1524
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Provider Profile Details
NPI Number
1578636072
Provider Name
Gerald Lane Devaughn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5249 Cedar Ave, Philadelphia, PA, 19143-1524
Phone Number
215-471-1817
Fax Number
215-471-5089
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0009504130009 05 PA
institution
Provider Business Practice Location Address Details
Address
5249 Cedar Ave
City
State
Zip
19143-1524
Phone Number
215-471-1817
Fax Number
215-471-5089
person
Provider Business Mailing Address Details
Address
5249 Cedar Ave
City
State
Zip
19143-1524
Phone Number
215-471-1817
Fax Number
215-471-5089
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
MD024220E (Pennsylvania)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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