Individual
REENA PUSHPANGADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., J.D.
Contact information
Practice address
310 CROSS ST, PHILADELPHIA, PA 19147-6509
(215) 767-4188
Mailing address
310 CROSS ST, PHILADELPHIA, PA 19147-6509
(215) 767-4188
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN-505559L
PA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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