Aida Karen Gallagher PA-C

NPI 1730324013 - Physician Assistant - 363A00000X

NPI Details
NPI 1730324013
Gender Female
Enumeration Date 12/15/2008
Last Updated 06/16/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
401-55 WEST ALLEGHENY AVENUE
PHILADELPHIA PA, 19133-3644, US
Phone (215) 291-2500
Fax (215) 291-2587
Business Location
1412 FAIRMOUNT AVE
PHILADELPHIA PA, 19130-2908, US
Phone (215) 599-4851
Fax (214) 232-4093
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number MA 053772
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According to our database, Mrs. Aida Karen Gallagher PA-C NPI is 1730324013, taxonomy code is 363A00000X and license number is MA 053772, license state is located at Pennsylvania. Aida Karen Gallagher PA-C physically located at 401-55 West Allegheny Avenue, Philadelphia PA, 19133-3644. NPI Number Aida Karen Gallagher PA-C has the Individual type.

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1730324013 NPI number is provided on an as is basis without warranty of any kind. 1730324013 is maintained by the National Plan & Provider Enumeration System. The contents of Aida Karen Gallagher PA-C are for informational purposes only.