Individual
DR. JENNIFER KALISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - GENETICS, PHILADELPHIA, PA 19104-4319
(215) 590-2920
(215) 590-3298
Mailing address
100 E PENN SQ, 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD438818
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028352800001
—
PA
Enumeration date
06/29/2007
Last updated
10/03/2018
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