Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
May 30, 2006
License(s)
MA002355L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2501 W LEHIGH AVE | Philadelphia, PA 19132-3207 | 215-227-0300 |
| LOCATION | 2501 W LEHIGH AVE | Philadelphia, PA 19132-3207 | 215-227-0300 |
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