Individual provider · Type 1 NPI

Mary Madeline Perdoncin, MD

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

NPI number 1780438036 Active

Practice location

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098

Call (215) 456-6200 Map

Mailing address

5501 Old York Rd
Philadelphia, PA 19141-3018

Specialties and licenses

TaxonomyCodeLicense
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 1780438036

Mary Madeline Perdoncin, MD's National Provider Identifier is 1780438036, issued on Apr 15, 2024. 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 May 20, 2025.