Dr. Kathryn O'sullivan Stack
MD | Pediatrics | Female
Dr. Kathryn O'sullivan Stack, MD is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kathryn O'sullivan Stack is
3401 Civic Center Blvd, Philadelphia, Pennsylvania - 19104-4319. She can be contacted on phone at
215-590-1220.
Dr. Kathryn O'sullivan Stack is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kathryn O'sullivan Stack is
1174147540 which was assigned by NPPES on 02 Jun, 2020 and it was last updated on 02 Jun, 2020.
Dr. Kathryn O'sullivan Stack license number is
MT221148 for Pediatrics (208000000X) in Pennsylvania.
Dr. Kathryn O'sullivan Stack is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kathryn O'sullivan Stack basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kathryn O'sullivan Stack |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kathryn O'sullivan Stack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3401 Civic Center Blvd
Philadelphia, PA, 19104-4319
United States |
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| Phone Number : | 215-590-1220 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174147540 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Jun, 2020 |
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| Last Updated On : | 02 Jun, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathryn O'sullivan Stack are as mentioned. Primary taxonomy code for Dr. Kathryn O'sullivan Stack, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MT221148 | PA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3401 Civic Center Blvd
Philadelphia, PA, 19104-4319
United States |
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| Phone Number : | 215-590-1220 |
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Business Location:
Patients can refer following map for directions to
Dr. Kathryn O'sullivan Stack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.