Individual provider · Type 1 NPI

Angelica Wong Despain, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Philadelphia, PA

NPI number 1194136820 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-1000 Map

Fax (215) 590-2180

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XT0196 (TX)
Pediatrics Physician 208000000XMD045994 (DC)
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204XMD480961 (PA)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XT0196 (TX)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1194136820

Angelica Wong Despain, MD's National Provider Identifier is 1194136820, issued on May 15, 2014. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 19, 2023.