Individual
MRS. LANDA ROSE PROPATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
713 BETHLEHEM PIKE, MONTGOMERYVILLE, PA 18936-9602
(267) 695-3944
(267) 695-3945
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051597
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221816YEXC
MEDICARE PTAN
PA
Enumeration date
10/25/2006
Last updated
04/10/2018
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