Individual
MRS. AUBREY DELVESCOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3605 EDGMONT AVE, BROOKHAVEN, PA 19015-2807
(610) 876-6180
(610) 876-6130
Mailing address
106 E MAPLE AVE, BROOKHAVEN, PA 19015-1743
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056759
PA
Other
Enumeration date
05/19/2014
Last updated
02/29/2016
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