Individual
MARA LEE CAPPELLONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, 3 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-3487
(215) 349-5534
Mailing address
3400 SPRUCE ST, 3 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-3487
(215) 349-5534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054517
PA
Other
Enumeration date
10/10/2007
Last updated
03/16/2026
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