Individual
MARYANN SALIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
861 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 831-1100
Mailing address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3600
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
OS019463
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035329750001
—
PA
05
—
1035329750002
—
PA
05
—
1035329750003
—
PA
Enumeration date
05/07/2013
Last updated
10/08/2019
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