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Individual

GABRIELLA TAL AMIGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
525 JAMESTOWN ST STE 205, PHILADELPHIA, PA 19128-1751
(215) 750-0301
(215) 944-8971
Mailing address
817 N 3RD ST APT 401, PHILADELPHIA, PA 19123-2564
(301) 466-0485

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064173
PA

Other

Enumeration date
11/15/2022
Last updated
05/14/2025
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