Lifestages Pediatrics LLC
NPI #1033750047 in Elkins Park, Pennsylvania
Provider Information
- NPI Number
- 1033750047
- Entity Type
- Organization
- Organization Name
- Lifestages Pediatrics LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Oct 1, 2019
- Last Updated
- Oct 1, 2019
Practice Location
- Address
- 8080 OLD YORK RD STE 207
- City
- Elkins Park
- State
- Pennsylvania
- ZIP Code
- 19027-1426
- Phone
- (215) 935-6493
Authorized Official
- Name
- DR. ANNIE KOTTO, MD
- Title
- DIRECTOR/PHYSICIAN
- Phone
- (215) 935-6493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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