Organization
KIDCARE PEDIATRICS, INC.
Active
Other names
KIDCARE Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA LYNN GIST-WATSON M.D. (PRESIDENT)
(215) 844-5437
Entity
Organization
Contact information
Practice address
6643 CHEW AVE, PHILADELPHIA, PA 19119-2004
(215) 844-5437
(215) 844-4722
Mailing address
144 WESTGATE DR, NORTH WALES, PA 19454-4209
(215) 844-5437
(215) 844-4722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD051296L
PA
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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