DR. KATHRYN MARISSA PALLEGEDARA MD - NPI 1760910780

Q: What is Kathryn Pallegedara's NPI number?

The NPI number for Kathryn Pallegedara is 1760910780. It was assigned to this individual provider in the NPPES registry on June 3, 2017. The provider is also known as Kathryn Marissa Paolucci.

Q: What is Kathryn Pallegedara's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Dr. Kathryn Marissa Pallegedara Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHRYN MARISSA PALLEGEDARA MD (NPI 1760910780) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD470136) and active in the NPI registry since June 2017. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1760910780

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KATHRYN MARISSA PALLEGEDARACredential: MD

Location Address5003 UMBRIA STPhiladelphia, PA 19128-4369

Mailing Address3401 Civic Center Boulevard, The Children's Hospital Of Philadelphia, 9nw Room 55Philadelphia, PA 19104-4399 · (215) 590-1220

Phone(215) 483-3444

Sole ProprietorNo

Enumeration DateJune 3, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedJune 22, 2020

✔ NPI 1760910780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in PA · MD470136✔ Licensed in PA · MT212738

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.

5003 UMBRIA ST, Philadelphia, PA 19128

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Other Names 1

Former Name (1)Kathryn Marissa Paolucci

Secondary Practice Location 1

Location 13401 Civic Center Blvd Rm 55Philadelphia, PA 19104-4319 · Phone (215) 590-1220

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE DISSTON CRNP

Nurse Practitioner (Pediatrics)