Individual
DR. JOHN NORRIS CHILDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
536 WALNUT LN, PHILADELPHIA, PA 19128-1741
(215) 849-2204
(215) 482-5695
Mailing address
432 W WALNUT LN, PHILADELPHIA, PA 19144-3715
(215) 849-2204
(215) 844-8359
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G86283
CA
208600000X
Surgery Physician
Primary
MD023951E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0730213
—
PA
Enumeration date
08/09/2005
Last updated
07/09/2007
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