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Individual
PHYLLIS A DENNERY
Active
Individual
PHYLLIS A DENNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD422824
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD422824
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016411
—
NJ
05
—
1008501800001
—
PA
Enumeration date
06/18/2006
Last updated
04/17/2013
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