Individual
LAURA PITTALUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-3644
(215) 291-2500
Mailing address
230 N 23RD ST APT 709, PHILADELPHIA, PA 19103-1279
(540) 539-0271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
08/25/2023
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