Individual
JOHN J MCCLOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD045557L
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD045557L
PA
208000000X
Pediatrics Physician
MD045557L
PA
2080P0203X
Pediatric Critical Care Medicine Physician
MD045557L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012542300
—
PA
01
—
082569EMD
MEDICARE PTAN CRITICAL CARE MEDICINE
PA
01
—
802314EJL
MEDICARE ANESTHESIA
PA
Enumeration date
08/14/2006
Last updated
12/29/2022
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