IYALLA PETERSIDE

PHILADELPHIA, PA
NPI1699710178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: PA  MD067897L)
Additional Taxonomies208000000X Pediatrics
(Licence: PA  MD067897L)
Enumeration Date2006-06-18
Last Update Date2015-04-20
Business Address
-- IYALLA PETERSIDE MD
3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGY
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1944
Mailing Address
-- IYALLA PETERSIDE MD
100 E PENN SQ 9TH FL
PHILADELPHIA, PA 19107-3323
Phone number: 267-425-9258