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Carlos San Pedro Madamba, MD
Hematology & Oncology Physician in Philadelphia, Pennsylvania
NPI 1811994866

Carlos San Pedro Madamba is a Hematology & Oncology Physician based in Philadelphia, PA and is specialized in Hematology & Oncology. Carlos San Pedro Madamba practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Carlos San Pedro Madamba is 1811994866 and holds a License No. 25MA05508600 (Pennsylvania).

The current practice location address for Carlos San Pedro Madamba is 51 N 39Th St, Philadelphia, PA and can be reached out via phone at 856-906-6273.

Location: 51 N 39Th St, Philadelphia, PA, 19104-2640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811994866
Provider Name
Carlos San Pedro Madamba
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
51 N 39Th St, Philadelphia, PA, 19104-2640
Phone Number
856-906-6273
Fax Number
Provider Enumeration Date
07/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6042201 05 NJ
institution
Provider Business Practice Location Address Details
Address
51 N 39Th St
City
Philadelphia
State
Pennsylvania
Zip
19104-2640
Phone Number
856-906-6273
Fax Number
person
Provider Business Mailing Address Details
Address
51 N 39Th St
City
Philadelphia
State
Pennsylvania
Zip
19104-2640
Phone Number
856-906-6273
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
25MA05508600 (New Jersey)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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