Individual
DIANA WALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Mailing address
636 WILSON AVE, STATEN ISLAND, NY 10312-3745
Taxonomy
Speciality
Code
Description
License number
State
1835I0206X
Infectious Diseases Pharmacist
Primary
RP457924
PA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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