Individual
TODD J KILBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34TH STREET & CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-3323
(215) 590-1858
(215) 590-3934
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD426383
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD426383
PA
2080P0203X
Pediatric Critical Care Medicine Physician
MD426383
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092726EMD
MEDICARE PTAN CRITICAL CARE MEDICINE
PA
05
—
1012942840
—
PA
01
—
802695EJL
MEDICARE PTAN ANESTHESIA
PA
Enumeration date
08/19/2006
Last updated
04/11/2013
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