Individual
ANJELICA YVONNE GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4536 SPRUCE ST, PHILADELPHIA, PA 19139
(215) 474-6100
Mailing address
4536 SPRUCE ST, PHILADELPHIA, PA 19139, PHILADELPHIA, PA 19139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD474608
PA
Other
Enumeration date
04/01/2018
Last updated
10/27/2021
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