Kallish, Staci M

Kallish, Staci M is an individual health care provider with primary practice located at 3400 Civic Center Blvd. 1St Floor, Philadelphia PA 19104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Kallish, Staci M can be contacted via phone (215) 662-2454.

Contact Information

Primary practice address
3400 Civic Center Blvd. 1St Floor Philadelphia PA 19104
Phone: (215) 662-2454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics 207SG0202X OS014273 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X OS014273 Pennsylvania

Profile Details

NPI number 1811152796
LBN Legal business name Kallish, Staci M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Sep 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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