Individual
DR. KELLY ANN DZIALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1233 LOCUST ST, SUITE 400, PHILADELPHIA, PA 19107-5453
(215) 545-8188
(215) 545-8446
Mailing address
1233 LOCUST ST, SUITE 400, PHILADELPHIA, PA 19107-5453
(215) 545-8188
(215) 545-8446
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08740500
NJ
208000000X
Pediatrics Physician
Primary
MD452160
PA
Other
Enumeration date
05/20/2008
Last updated
08/12/2014
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