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Individual

DR. SABRINA GMUCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3401 CIVIC CENTER BLVD, DEPARTMENT OF PEDIATRIC RHEUMATOLOGY, PHILADELPHIA, PA 19104-4319
(718) 614-5251
Mailing address
1500 LOCUST ST, APT 3508, PHILADELPHIA, PA 19102-4329
(718) 614-5251

Taxonomy

Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
MT205491
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
268562
NY STATE MEDICAL LICENSE
NY
Enumeration date
04/25/2011
Last updated
06/20/2014
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