Individual
RILEY ANNE JUANITA WEIDLE BABICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
208000000X
Pediatrics Physician
Primary
MD484784
PA
Other
Enumeration date
04/07/2021
Last updated
08/19/2024
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