Individual provider · Type 1 NPI

Fatimah Sorefan-Mangou, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1770104259 Active · reactivated May 2, 2022

Practice location

4 Maloney 3400 Spruce Street
Philadelphia, PA 19104

Call (215) 662-6156 Map

Fax (215) 662-7983

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770104259

Fatimah Sorefan-Mangou, MD's National Provider Identifier is 1770104259, issued on May 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 2, 2022.