Individual
MRS. MARYKUTTY EDWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
(610) 272-5655
Mailing address
552 WILLIAM PENN WAY, LANSDALE, PA 19446-4174
(267) 222-0468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP031472
PA
Other
Enumeration date
12/10/2024
Last updated
04/08/2025
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