Individual
MARISSA KILBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, 9NW, ROOM 55, PHILADELPHIA, PA 19104-4319
(215) 590-1220
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF ENDOCRINOLOGY, PHILADELPHIA, PA 19104-4319
(267) 426-3904
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT206089
PA
2080P0205X
Pediatric Endocrinology Physician
Primary
MT206089
PA
Other
Enumeration date
05/16/2014
Last updated
06/12/2017
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