Individual
KRISTOPHER PHILOGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 492-3500
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-1622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD466590
PA
Other
Enumeration date
06/25/2016
Last updated
08/07/2019
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