Individual
KRITI PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-3305
Mailing address
1A REGULUS DR, TURNERSVILLE, NJ 08012-2427
(844) 542-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS022420
PA
207RP1001X
Pulmonary Disease Physician
Primary
25MB11793600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
12/30/2024
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