Individual
MICHELLE PATRICE MCCRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC - MEDICAL GENETICS AND GENOMICS, PHILADELPHIA, PA 19104-4319
(267) 590-0603
Mailing address
103 OLIVE ST, PHILADELPHIA, PA 19123-3105
(410) 725-4793
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MT227973
PA
208000000X
Pediatrics Physician
125.068373
IL
208000000X
Pediatrics Physician
297802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
297802
PHYSICIAN LICENSE
NY
Enumeration date
03/20/2016
Last updated
07/02/2023
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