Individual
PHYLLIS L. EHRLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12265 TOWNSEND RD, SUITE 400, PHILA, PA 19154-1201
(215) 856-1329
Mailing address
6434 HENRY AVE, PHILADELPHIA, PA 19128-1507
(215) 483-1107
(215) 509-6737
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OC000030L
PA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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