Individual
JOHN MARK NEGRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S 8TH ST STE 2I, PHILADELPHIA, PA 19106-4017
(276) 322-7700
Mailing address
2812 MEYER AVE, GLENSIDE, PA 19038-1918
(215) 588-9864
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
141213
PA
Other
Enumeration date
04/19/2022
Last updated
06/30/2022
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