Staci M Kallish
Clinical Genetics (M.D.)
3400 Civic Center Blvd. 1st Floor
Philadelphia
, Pennsylvania 19104
Staci M Kallish
Clinical Genetics (M.D.)
3400 Civic Center Blvd. 1st Floor
Philadelphia
, Pennsylvania 19104
(215) 662-2454
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Staci M Kallish
- 3400 Civic Center Blvd. 1st Floor
- Philadelphia, PA
- Zip : 19104
- Phone : (215) 662-2454
Second Address
- Staci M Kallish
- 3400 Civic Center Blvd. 1st Floor
- Philadelphia, PA
- Zip : 19104
- Phone : (215) 662-2454
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What type of doctor is Staci M Kallish
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Is Staci M Kallish a sole practitioner?
Is Staci M Kallish accepting new patients?
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Does Staci M Kallish offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | OS014273 | PA |
National Provider Identifier
| NPI | 1811152796 |
|---|---|
| Provider Name | Staci M Kallish |
| First Address | Philadelphia, PA 19104 |
| Second Address | Philadelphia, PA 19104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2008 |
| Last Update Date | 13/09/2019 |
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.