Mammen Cherian Vaidian

NPI #1447851779 in Trevose, Pennsylvania

Provider Information

NPI Number: 1447851779
Entity Type: Individual
Name: Mammen Cherian Vaidian
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 3, 2020
Last Updated: Nov 3, 2020

Practice Location

Address: 3461 HORIZON BLVD
City: Trevose
State: Pennsylvania
ZIP Code: 19053-4967
Phone: (215) 942-7483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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