Individual
DEBORAH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 GERMANTOWN AVE, PHILADELPHIA, PA 19118
(215) 247-1172
(215) 247-0663
Mailing address
7700 GERMANTOWN AVE, PHILADELPHIA, PA 19118
(215) 247-1172
(215) 247-0663
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-023323-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008422470003
—
PA
Enumeration date
07/24/2006
Last updated
07/08/2007
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