363LA2100X
Philadelphia, PA
Specialty
363LA2100X
Credential
MSN, CRNP, AGACNP-BC
NPI
1205407822
230 W Washington Square, Philadelphia, PA 19106
(215) 829-3561Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X