Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alise Peckjian, MD

Individual provider Pediatrics Physician · NPI 1215558499

Alise Peckjian, MD is a Pediatrics Physician in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-7131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 Market St Fl 2, Philadelphia, PA 19104-3317 — (866) 301-4724

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence MD481018 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MT220666 (PA)

Record details

NPI number1215558499
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESJuly 15, 2023
Certification dateJuly 15, 2023

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