Individual
GIA MERLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MBA
Contact information
Practice address
822 PINE ST, SUITE 2D, PHILADELPHIA, PA 19107-6187
(215) 629-2929
(215) 629-2928
Mailing address
822 PINE ST, SUITE 2D, PHILADELPHIA, PA 19107-6187
(215) 629-2929
(215) 629-2928
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD059147L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD059147L
PA
Other
Enumeration date
05/22/2007
Last updated
06/03/2013
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