Provider Demographics
NPI:1245445246
Name:GEORGE, KRISSA JO (MD)
Entity type:Individual
Prefix:DR
First Name:KRISSA
Middle Name:JO
Last Name:GEORGE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8556 BUSTLETON AVENUE
Mailing Address - Street 2:EINSTEIN PENNYPACK PEDIATRICS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152
Mailing Address - Country:US
Mailing Address - Phone:215-698-9200
Mailing Address - Fax:215-332-4395
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:ALBERT EINSTEIN MEDICAL CENTER - PEDIATRICS
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-7176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2015-09-04
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Provider Licenses
StateLicense IDTaxonomies
PAMT1885422080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine