Individual provider · Type 1 NPI

Mary Elizabeth Pappaconstantinou, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1639811490 Active

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Call (448) 622-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XOT022455 (PA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639811490

Mary Elizabeth Pappaconstantinou, DO's National Provider Identifier is 1639811490, issued on Apr 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 24, 2023.