Individual
DR. MOLLY ELLEN DEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3550 MARKET ST FL 4, PHILADELPHIA, PA 19104
(215) 590-2178
Mailing address
3550 MARKET ST FL 4, PHILADELPHIA, PA 19104-3368
(215) 590-2178
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C70005905
DE
208000000X
Pediatrics Physician
Primary
MD463726
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2015
Last updated
08/23/2019
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