Individual
CELIA EZIDIEGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 SHURS LN, SUITE 301, PHILADELPHIA, PA 19127-2123
(215) 967-1632
Mailing address
10 SHURS LN, SUITE 301, PHILADELPHIA, PA 19127-2123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT212152
PA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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