Provider Demographics
NPI:1912285875
Name:SIAO, ANNA THERESA GARCES (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA THERESA
Middle Name:GARCES
Last Name:SIAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5501 OLD YORK RD
Mailing Address - Street 2:KORMAN BUILDING-SUITE 202
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3018
Mailing Address - Country:US
Mailing Address - Phone:215-254-2612
Mailing Address - Fax:215-456-5926
Practice Address - Street 1:6712 RISING SUN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-4673
Practice Address - Country:US
Practice Address - Phone:215-725-2105
Practice Address - Fax:215-927-7939
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT198631390200000X
PAMD4528572080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program