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Individual

CHRISTINE MARIE BETHENCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1700 S BROAD ST APT 301, PHILADELPHIA, PA 19145-2340
(305) 967-9514
Mailing address
1700 S BROAD ST APT 301, PHILADELPHIA, PA 19145-2340
(305) 967-9514

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD494138
PA
208000000X
Pediatrics Physician
Primary
MT228539
PA

Other

Enumeration date
12/15/2021
Last updated
04/13/2026
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