Individual
GRACE W PIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3624 MARKET ST FL 2, PHILADELPHIA, PA 19104-5803
(215) 662-7772
(215) 349-8038
Mailing address
3624 MARKET ST FL 2, PHILADELPHIA, PA 19104-5803
(215) 662-7772
(215) 349-8038
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD069768L
PA
207RP1001X
Pulmonary Disease Physician
MD069768L
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD069768L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018841520001
—
PA
Enumeration date
07/19/2006
Last updated
09/17/2023
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