Individual
DR. MARIAN CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34TH STREET & CIVIC CENTER BLVD, CONSULT LIAISON TEAM - 9 SOUTH, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-4251
Mailing address
3440 MARKET ST, SUITE 410, PHILADELPHIA, PA 19104-3325
(215) 590-7532
(215) 590-4251
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD034209E
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD034209E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001187343
—
PA
Enumeration date
10/16/2006
Last updated
03/02/2009
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