Basic Information
Provider Information
NPI: 1457615692
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGER
FirstName: KRISTEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GUARALDO
OtherFirstName: KRISTEN
OtherMiddleName: SINGER
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 5
Mailing Information
Address1: 132 SOUTH 10TH STREET
Address2: 480 MAIN BUILDING
City: PHILADELPHIA
State: PA
PostalCode: 191075244
CountryCode: US
TelephoneNumber: 2159558900
FaxNumber: 2159555245
Practice Location
Address1: 1300 WOLF ST FL 1
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191482912
CountryCode: US
TelephoneNumber: 2159558900
FaxNumber: 2159233447
Other Information
ProviderEnumerationDate: 07/03/2012
LastUpdateDate: 01/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X2012019699MON Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100X263920MAN Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207RG0100XMD466066PAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


Home