Most Relevant Information
Provider Data
| NPI Number: | 1003558834 |
| Provider Name: | ALLISON S DOERMANN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2022 |
| Last Updated: | 04/26/2022 |
Provider Practice Location
1015 WALNUT ST STE 620
PHILADELPHIA
PA
191075005
Practice Location Phone/Fax
| Phone: | 2159556864 |
| Fax: |
Provider Mailing Location
1015 WALNUT ST STE 620
PHILADELPHIA
PA
191075005
Provider Mailing Phone/Fax
| Phone: | 2159556864 |
| Fax: |