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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. You can also correspond with Mario Zichella JR. through the mailing address at 9 N 9TH ST, PHILADELPHIA, PA - 19107-3121 (mailing address contact number: 973-879-0509).

Location: 1025 Walnut Street, Philadelphia, PA, 19107-3121
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Provider Profile Details
NPI Number
1568656981
Provider Name
Mario Zichella JR.
Credential
DO
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
GBTQ6ZXW 01 PA PA TRAINING LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1025 Walnut Street
City
State
Zip
19107-3121
Phone Number
973-879-0509
Fax Number
person
Provider Business Mailing Address Details
Address
1025 Walnut Street
City
State
Zip
19107-3121
Phone Number
973-879-0509
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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