Individual
CECELIA ELIZABETH SCHMALBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140
(215) 707-3663
(215) 707-6417
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3663
(215) 707-6417
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01075632A
IN
207Y00000X
Otolaryngology Physician
32596
AL
207Y00000X
Otolaryngology Physician
4301072453
MI
207Y00000X
Otolaryngology Physician
Primary
MD465783
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201308290
—
IN
Enumeration date
01/05/2006
Last updated
09/25/2018
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