Dr. Mario Zichella JR., DO - Philadelphia, PA

Dr. Mario Zichella JR., DO

Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania

NPI 1568656981

Mario Zichella JR. is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Mario Zichella JR. practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Mario Zichella JR. is 1568656981 and holds a License No. GBTQ6ZXW (Pennsylvania).

The current practice location address for Mario Zichella JR. is 1025 Walnut Street, Philadelphia, PA and can be reached out via phone at 973-879-0509.

Location: 1025 Walnut Street, Philadelphia, PA, 19107-3121

NPI Number

1568656981

Provider Name

Mario Zichella JR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

1025 Walnut Street, Philadelphia, PA, 19107-3121

Phone Number

973-879-0509

Fax Number

Provider Enumeration Date

08/29/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
GBTQ6ZXW	01	PA	PA TRAINING LICENSE NUMBER

Address

1025 Walnut Street

City

Philadelphia

State

Pennsylvania

Zip

19107-3121

Phone Number

973-879-0509

Fax Number

Address

1025 Walnut Street

City

Philadelphia

State

Pennsylvania

Zip

19107-3121

Phone Number

973-879-0509

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Pediatrics

Speciality

Neonatal-Perinatal Medicine

Taxonomy

2080N0001X

License No.

(New York)

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

GBTQ6ZXW (Pennsylvania)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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