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NPI Code Detail

MEDICARE: CHRISTINE KILCZEWSKI D.O.

MEDICARE: CHRISTINE KILCZEWSKI D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS014583PA

General Provider Information

NPI Number : 1255504163
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE KILCZEWSKI D.O.
Provider Business Mailing Address
First Line : 401 ROUTE 73 N STE 320
Second Line :
City : MARLTON
State : NJ
Zip : 08053-3426
Country : US
Telephone Number : 856-872-7055
Fax Number :
Provider Business Practice Location Address
First Line : 825 OLD LANCASTER RD STE 320
Second Line :
City : BRYN MAWR
State : PA
Zip : 19010-3235
Country : US
Telephone Number : 610-527-3800
Fax Number : 610-527-0308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2008
Last Update Date : 04/15/2026

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Directions to “ CHRISTINE KILCZEWSKI D.O.” Practice Location

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