“Pediatric Critical Care Medicine Physician” (Philadelpha, PA)
Location: Philadelpha, PA
Taxonomy: Pediatric Critical Care Medicine Physician.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1104562032
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SOPHIA
DEMUYNCK
M.D.
Practice Location Address:
3401 CIVIC CENTER BLVD
DIVISION OF PEDIATRIC CRITICAL CARE MEDICINE
PHILADELPHA PA
19104
Practice Phone:
800-879-2467