Active NPIIndividual provider

Dr. Molly Deacutis, MD

Anesthesiology, Pediatric Anesthesiology in Philadelphia, Pennsylvania

NPI Number1952795171
Practice location
3401 Civic Center Blvd, Philadelphia, PA 19104-4319
Fax
215-590-1415
Last updated
March 5, 2024

Molly Deacutis is an Anesthesiology, Pediatric Anesthesiology based in Philadelphia, PA. Molly Deacutis practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Molly Deacutis is 1952795171 and holds a License No. MD482874 (PA). The current practice location address for Molly Deacutis is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 and can be reached out via phone at 215-590-1858 and via fax at 215-590-1415.

Provider Profile Details

NPI Number
1952795171
Provider Name
Molly Deacutis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3401 Civic Center Blvd, Philadelphia, PA 19104-4319
Phone Number
215-590-1858
Fax Number
215-590-1415
Primary Taxonomy
Anesthesiology, Pediatric Anesthesiology · 207LP3000X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2015
Last Update Date
March 5, 2024
Certification Date
March 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Zip
19104-4319
Phone Number
215-590-1858
Fax Number
215-590-1415
Philadelphia, PA 19104Get directions →

Provider Business Mailing Address Details

Address
3401 Civic Center Blvd Ste 9329
Philadelphia, PA 19104-4319
City
Philadelphia
State
PA
Zip
19104-4319
Phone Number
267-425-9300
Fax Number
267-443-1341

License Information

License Number (1)
MD482874
License State (1)
PA
Taxonomy (1)
Anesthesiology, Pediatric Anesthesiology · 207LP3000X · Primary
License Number (2)
067596
License State (2)
CT
Taxonomy (2)
Anesthesiology · 207L00000X
License Number (3)
067596
License State (3)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Molly Deacutis, MD?

The NPI number of Dr. Molly Deacutis, MD is 1952795171. It was assigned on March 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Molly Deacutis, MD?

Dr. Molly Deacutis, MD is registered under the primary taxonomy Anesthesiology, Pediatric Anesthesiology (code 207LP3000X), licensed in PA under license number MD482874.

Where does Dr. Molly Deacutis, MD practice?

The practice location is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319. The office can be reached at 215-590-1858 (phone) or 215-590-1415 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952795171 directly on the NPPES registry website.

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