Marc P Yudkoff
Pediatrician Clinical Genetics (M.D.) Developmental - Behavioral Pediatrician
3401 Civic Center Blvd Children's Hospital Of Philadelphia - Metabolism
Philadelphia
, Pennsylvania 19104-4319
Marc P Yudkoff
Pediatrician Clinical Genetics (M.D.) Developmental - Behavioral Pediatrician
3401 Civic Center Blvd Children's Hospital Of Philadelphia - Metabolism
Philadelphia
, Pennsylvania 19104-4319
(267) 425-9299
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
- Developmental - Behavioral Pediatrician
Languages spoken
- English
Location
First Address
- Marc P Yudkoff
- 100 E Penn Sq 9th Floor
- Philadelphia, PA
- Zip : 19107-3323
- Fax : (267) 425-9299
- Phone : (267) 425-9232
Second Address
- Marc P Yudkoff
- 3401 Civic Center Blvd Children's Hospital Of Philadelphia - Metabolism
- Philadelphia, PA
- Zip : 19104-4319
- Fax : (215) 590-4297
- Phone : (215) 590-3376
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | MD017296E | PA |
| N | 208000000X | Pediatrician | MD017296E | PA |
| N | 2080P0006X | Developmental - Behavioral Pediatrician | MD017296E | PA |
National Provider Identifier
| NPI | 1679589469 |
|---|---|
| Provider Name | Marc P Yudkoff |
| First Address | Philadelphia, PA 19107-3323 |
| Second Address | Philadelphia, PA 19104-4319 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 19/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000665026 | (05) | PA |
| 1518305 | (05) | NJ |
| B33849 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.