| Doctor Name: | DR. ROSS IRA WANK |
| NPI Number: | 1649457235 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MT191722 |
| Business Practice Address: | 132 S. 10th Street Department Of Radiology 1087 Main Bldg. Philadelphia, PA - 191075244 |
| Business Phone Number: | 9173011737 |
| Business Fax Number: | |
| Mailing Address: | 1411 Walnut St, Apartment 403 PHILADELPHIA |
| State: | PA |
| Postal Code: | 191023129 |
| Phone Number: | 9173011737 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2008 |
| NPI Last Update Date: | 01/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | MT191722 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |