Individual
MARK J. KILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107-5002
(215) 955-9837
Mailing address
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107-5002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA11831300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
05/24/2023
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