Provider Demographics
NPI:1376518233
Name:ALLAN, DAVID A (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:ALLAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3910 POWELTON AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2692
Mailing Address - Country:US
Mailing Address - Phone:215-662-4333
Mailing Address - Fax:215-349-8900
Practice Address - Street 1:3910 POWELTON AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2692
Practice Address - Country:US
Practice Address - Phone:215-662-4333
Practice Address - Fax:215-349-8900
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2014-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD019357E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007991370009Medicaid
PA087857Medicare PIN
PA0007991370009Medicaid