Individual
DR. KELLY GRZYWACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 ROCKLAND RD, A. I. DUPONT HOSPITAL FOR CHILDREN, WILMINGTON, DE 19803-3607
(302) 651-5874
Mailing address
201 S 25TH ST, APT # 215, PHILADELPHIA, PA 19103-6002
(215) 964-9466
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C70003827
DE
208000000X
Pediatrics Physician
MT 190968
PA
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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