Individual
DR. CHRISTINE V SOUTENDIJK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 WALNUT ST FL 2, PHILADELPHIA, PA 19106
(215) 503-4779
(215) 503-4922
Mailing address
700 WALNUT ST FL 2, PHILADELPHIA, PA 19106-3505
(215) 503-4779
(215) 503-4922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062781L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001697991
—
PA
05
—
0016979910006
—
PA
Enumeration date
05/12/2006
Last updated
09/21/2018
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