Staci M Kallish in Philadelphia - Clinical Genetics (m.d.)

Staci M Kallish - NPI 1811152796

Staci M Kallish is a Clinical Genetics (m.d.) in Philadelphia, Pennsylvania. Staci M Kallish practices all healthcare services and medical treatments related to Clinical Genetics (m.d.). The NPI Number for Staci M Kallish is 1811152796. The last update date is 2019-09-13.

Staci M Kallish's current location address is 3400 Civic Center Blvd., Philadelphia, Pennsylvania. You can contact this provider via phone number 2156622454. The mailing address for Staci M Kallish is 3400 Civic Center Blvd., Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Staci M Kallish
Address 3400 Civic Center Blvd., Philadelphia, Pennsylvania
Phone Number 2156622454
Fax Number
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1811152796
Provider Enumeration Date 2008-07-21
Last Updated Date 2019-09-13

Provider Mailing Address Detail

Address 3400 Civic Center Blvd.
City Philadelphia
State Pennsylvania (PA)
Post Code 19104
Phone Number 2156622454
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Genetics (m.d.)
Taxonomy 207Sg0201X
Licence No OS014273
Definition:
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

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FAQs about Staci M Kallish

What is the unique 10-digit identifier code assigned to Staci M Kallish by the Centers for Medicare & Medicaid Services?

The Staci M Kallish has been issued the NPI (National Provider Identifier) 1811152796 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Staci M Kallish's physical address?

The Staci M Kallish is physically located at 3400 Civic Center Blvd., in the city of Philadelphia, PA, with the postal code 19104.

What is Staci M Kallish's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Staci M Kallish is Clinical Genetics (m.d.), and the taxonomy code that categorizes this field of expertise is 207Sg0201X.

When did the Staci M Kallish receive its 1811152796?

The Staci M Kallish was issued its 1811152796 on 2008-07-21, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Staci M Kallish, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Staci M Kallish, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-09-13.

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