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Individual

MS. BONNIE VITTI-HUOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011881
NY
363A00000X
Physician Assistant
Primary
MA059846
PA
363AM0700X
Medical Physician Assistant
002728
CT

Other

Enumeration date
07/03/2007
Last updated
04/16/2025
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