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Individual

KATHERINE TAYLOR WILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3401 CIVIC CENTER BLVD, 9 NW ROOM 55, PHILADELPHIA, PA 19104-4319
(267) 614-9003
Mailing address
3401 CIVIC CENTER BLVD, 9 NW ROOM 55, PHILADELPHIA, PA 19104-4319
(267) 614-9003

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT211579
PA

Other

Enumeration date
06/13/2016
Last updated
06/13/2016
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