Individual
MARC P YUDKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - METABOLISM, PHILADELPHIA, PA 19104-4319
(215) 590-3376
(215) 590-4297
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD017296E
PA
207SG0202X
Clinical Biochemical Genetics Physician
MD017296E
PA
208000000X
Pediatrics Physician
MD017296E
PA
2080P0006X
Developmental - Behavioral Pediatrics Physician
MD017296E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000665026
—
PA
05
—
1518305
—
NJ
Enumeration date
07/31/2006
Last updated
04/19/2013
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