Alicia Frances Wise PA-C

NPI 1487913828 - Physician Assistant - 363AM0700X

NPI Details
NPI 1487913828
Gender Female
Enumeration Date 05/04/2012
Last Updated 02/17/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
213 REECEVILLE RD
SUITE 17
COATESVILLE PA, 19320-1528, US
Phone (610) 384-6076
Fax
Business Location
405 S NEWTOWN STREET RD
NEWTOWN SQUARE PA, 19073-4411, US
Phone (845) 417-7770
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA055477
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According to our database, Miss Alicia Frances Wise PA-C NPI is 1487913828, taxonomy code is 363AM0700X and license number is MA055477, license state is located at Pennsylvania. Alicia Frances Wise PA-C physically located at 213 Reeceville Rd, Coatesville PA, 19320-1528. NPI Number Alicia Frances Wise PA-C has the Individual type.

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1487913828 NPI number is provided on an as is basis without warranty of any kind. 1487913828 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Frances Wise PA-C are for informational purposes only.