Healthcare Provider Details

I. General information

NPI: 1255778940
Provider Name (Legal Business Name): DAVID ANDREW HILL MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2013
Last Update Date: 06/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 CIVIC CENTER BLVD 9NW63
PHILADELPHIA PA
19104
US

IV. Provider business mailing address

3401 CIVIC CENTER BLVD DIVISION OF ALLERGY AND IMMUNOLOGY
PHILADELPHIA PA
19104-4319
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-1220
  • Fax: 215-590-2768
Mailing address:
  • Phone: 215-590-2549
  • Fax: 215-590-6849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberMT203895
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: