Individual
DR. KATHLEEN E. SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 CHESTNUT ST, SUITE 1020, PHILADELPHIA, PA 19107-4310
(215) 955-7785
(215) 955-9362
Mailing address
1015 CHESTNUT ST, SUITE 1020, PHILADELPHIA, PA 19107-4310
(215) 955-7785
(215) 955-9362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD029556E
PA
207RI0200X
Infectious Disease Physician
Primary
MD029556E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077682
—
NJ
05
—
101408394
—
PA
Enumeration date
07/22/2006
Last updated
04/10/2015
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