Individual
KRISTIN DEANNE MALETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1214
Mailing address
253 S 21ST ST APT 4, PHILADELPHIA, PA 19103-4842
(973) 769-4324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57.030204
OH
208000000X
Pediatrics Physician
Primary
MT221531
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
07/28/2020
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