Individual
MS. GINA MARIE POPPITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 N. 39TH STREET, PHILADELPHIA, PA 19104-4238
(215) 294-9456
(215) 222-8646
Mailing address
51 N. 39TH STREET, PHILADELPHIA, PA 19104-4238
(215) 294-9456
(215) 222-8646
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MA059539
PA
363AS0400X
Surgical Physician Assistant
C5-0000732
DE
363AS0400X
Surgical Physician Assistant
Primary
MA059539
PA
Other
Enumeration date
12/28/2011
Last updated
03/10/2026
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