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GEANNINE ELISA SCHIAVONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
701 OSTRUM ST, SUITE 603, FOUNTAIN HILL, PA 18015-1155
(484) 526-3990
(610) 868-2915
Mailing address
701 OSTRUM ST, SUITE 603, FOUNTAIN HILL, PA 18015-1155
(484) 526-3990
(610) 868-2915

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051497
PA
363AS0400X
Surgical Physician Assistant
MA051497
PA

Other

Enumeration date
10/23/2007
Last updated
08/23/2013
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