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Organization
PHILOMENA PHYSICIAN ASSISTANT SERVICES INC
Active
Organization
PHILOMENA PHYSICIAN ASSISTANT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE P BURKE PA-C (CEO)
(610) 739-9606
Entity
Organization
Contact information
Practice address
3709 LEMON AVE, LONG BEACH, CA 90807-4115
(610) 739-9606
Mailing address
3709 LEMON AVE, LONG BEACH, CA 90807-4115
(610) 739-9606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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