Laurel Anne Green PA-C

NPI 1043232259 - Physician Assistant - 363AM0700X

NPI Details
NPI 1043232259
Gender Female
Enumeration Date 07/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100 E CHESTER PIKE
RIDLEY PARK PA, 19078-1703, US
Phone (610) 521-3333
Fax (610) 521-2263
Business Location
100 E CHESTER PIKE
RIDLEY PARK PA, 19078-1703, US
Phone (610) 521-3333
Fax (610) 521-2263
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA002776L
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According to our database, Laurel Anne Green PA-C NPI is 1043232259, taxonomy code is 363AM0700X and license number is MA002776L, license state is located at Pennsylvania. Laurel Anne Green PA-C physically located at 100 E Chester Pike, Ridley Park PA, 19078-1703. NPI Number Laurel Anne Green PA-C has the Individual type.

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1043232259 NPI number is provided on an as is basis without warranty of any kind. 1043232259 is maintained by the National Plan & Provider Enumeration System. The contents of Laurel Anne Green PA-C are for informational purposes only.