Individual
GRACE CATHERINE ST. CYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-3377
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-3377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036163280
IL
208000000X
Pediatrics Physician
125076863
IL
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MT230605
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/23/2020
Last updated
06/05/2024
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