Individual
CHRISTINA ILIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-4557
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-3793
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
OT015187
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
OT015187
PA
Other
Enumeration date
05/15/2013
Last updated
07/21/2022
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