Individual
DR. KAITLIN MOFFETT BRANDSTADTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4865 MARKET ST, PHILADELPHIA, PA 19139-3508
(267) 425-9800
Mailing address
4865 MARKET ST, PHILADELPHIA, PA 19139-3508
(267) 425-9800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD454747
PA
390200000X
Student in an Organized Health Care Education/Training Program
182235
NC
Other
Enumeration date
05/02/2012
Last updated
07/29/2015
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