Doctor Name: | BRIAN LESTINI |
NPI Number: | 1003009523 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD428596 |
Business Practice Address: | 34th & Civic Center Blvd Children's Hospital Of Philadelphia Philadelphia, PA - 191044399 |
Business Phone Number: | 2155901000 |
Business Fax Number: | 2155902204 |
Mailing Address: | 3535 Market St, 12th Floor, Suite 1220 - Chop Dept Of Msa PHILADELPHIA |
State: | PA |
Postal Code: | 191043309 |
Phone Number: | 2155904670 |
Fax Number: | 2155902204 |
NPI Enumeration Date: | 08/20/2007 |
NPI Last Update Date: | 08/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080P0207X |
License Number: | MD428596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Pediatric Hematology-Oncology |
Taxonomy Definition: | A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |