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Marie Krielle Tasha Pantino, MD
Hematology & Oncology Physician in Philadelphia, Pennsylvania
NPI 1962060012

Marie Krielle Tasha Pantino is a Hematology & Oncology Physician based in Philadelphia, PA and is specialized in Hematology & Oncology. Marie Krielle Tasha Pantino practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Marie Krielle Tasha Pantino is 1962060012 and holds a License No. MT217263 (Pennsylvania).

The current practice location address for Marie Krielle Tasha Pantino is 5401 Old York Rd, Philadelphia, PA and can be reached out via phone at 215-456-6629.

Location: 5401 Old York Rd, Philadelphia, PA, 19141-3098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962060012
Provider Name
Marie Krielle Tasha Pantino
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5401 Old York Rd, Philadelphia, PA, 19141-3098
Phone Number
215-456-6629
Fax Number
Provider Enumeration Date
06/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5401 Old York Rd
City
Philadelphia
State
Pennsylvania
Zip
19141-3030
Phone Number
215-456-6629
Fax Number
person
Provider Business Mailing Address Details
Address
5401 Old York Rd
City
Philadelphia
State
Pennsylvania
Zip
19141-3030
Phone Number
215-456-6629
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MT217263 (Pennsylvania)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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