Individual
KATRINA PAPA POBLETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
821 N 2ND ST, PHILADELPHIA, PA 19123-3009
(267) 702-3850
Mailing address
821 N 2ND ST, PHILADELPHIA, PA 19123-3009
(267) 702-3850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD432768
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102239750
—
PA
01
—
MD432768
PA LICENSE
PA
Enumeration date
11/03/2008
Last updated
03/07/2023
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