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Individual

DR. JULIA THERESE WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3437
Mailing address
3615 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4318
(215) 590-6189

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018009418
MO
2080P0207X
Pediatric Hematology & Oncology Physician
2018009418
MO
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD478522
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200062481
MO
Enumeration date
06/16/2015
Last updated
11/10/2022
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