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Iyalla Peterside, MD
Neonatal-Perinatal Medicine Physician in Philadelphia, Pennsylvania
NPI 1699710178

Iyalla Peterside is a Neonatal-Perinatal Medicine Physician based in Philadelphia, PA and is specialized in Neonatal-Perinatal Medicine. Iyalla Peterside practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Iyalla Peterside is 1699710178 and holds a License No. MD067897L (Pennsylvania).

The current practice location address for Iyalla Peterside is 3401 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-590-1944 and via fax at 215-590-4454.

Location: 3401 Civic Center Blvd, Philadelphia, PA, 19107-3323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699710178
Provider Name
Iyalla Peterside
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3401 Civic Center Blvd, Philadelphia, PA, 19107-3323
Phone Number
215-590-1944
Fax Number
215-590-4454
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0017940000004 05 PA
8183007 05 NJ
institution
Provider Business Practice Location Address Details
Address
3401 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4319
Phone Number
215-590-1944
Fax Number
215-590-4454
person
Provider Business Mailing Address Details
Address
3401 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4319
Phone Number
215-590-1944
Fax Number
215-590-4454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
MD067897L (Pennsylvania)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
MD067897L (Pennsylvania)
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.
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