Most Relevant Information
Provider Data
| NPI Number: | 1003303603 |
| Provider Name: | EDWARD KREIDER MD, PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/18/2018 |
| Last Updated: | 06/26/2024 |
Provider Practice Location
3400 SPRUCE ST
PHILADELPHIA
PA
191044238
Practice Location Phone/Fax
| Phone: | 2156622200 |
| Fax: |
Provider Mailing Location
1205 WAVERLY WALK
PHILADELPHIA
PA
191471121
Provider Mailing Phone/Fax
| Phone: | 8564954166 |
| Fax: |