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General NPI Number Information
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NPI Number | 1376608422
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Entity Type | Individual
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Provider Name | CLAUDIA MATTOS DA COSTA DOURADO M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 5501 OLD YORK RD CANCER CENTER, BRAEMER HEART BUILDING, 1ST FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3018
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Country | US
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Telephone | 215-456-3880
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Fax | 215-456-3824
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Provider Business Mailing Address
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Address Line | PO BOX 8500-8735
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City | PHILADELPHIA
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State | PA
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Zip | 19178-8735
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Country | US
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Telephone | 215-456-7000
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Fax | 215-254-2599
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35.087180
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD 419774
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License Number State | PA
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