Individual
MS. JULIA A TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
839 LINCOLN AVE, SUITE A, WEST CHESTER, PA 19380
(610) 241-3050
Mailing address
655 GREENRIDGE RD, GLENMOORE, PA 19343-9501
(610) 883-1745
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA051231
STATE LICENSE
PA
Enumeration date
09/27/2006
Last updated
02/02/2010
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