Individual
MARY E PIPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3550 MARKET ST FL 3, CHILDREN'S HOSPITAL OF PHILADELPHIA - CHILD DEVELOPMENT, PHILADELPHIA, PA 19104-3365
(267) 425-5200
(267) 426-0975
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9258
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07121700
NJ
208000000X
Pediatrics Physician
MD055428L
PA
2080P0006X
Developmental - Behavioral Pediatrics Physician
25MA07121700
NJ
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD055428L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001736024
—
PA
05
—
7819200
—
NJ
Enumeration date
07/31/2006
Last updated
10/24/2014
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