Individual
KIERAN TALKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(800) 637-2374
Mailing address
200 W WASHINGTON SQ APT 3304, PHILADELPHIA, PA 19106-3537
(201) 819-7856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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