Individual
MRS. FENGYAN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5501OLD YORK ROAD, PHILADELPHIA, PA 19141
(216) 456-7890
Mailing address
7720 NEW SECOND ST, ELKINS PARK, PA 19027-3512
(215) 796-2155
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003459-L
PA
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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