Individual
JEANNE-MARIE PUCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
541 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-2612
(267) 202-6433
Mailing address
PO BOX 425, LEDERACH, PA 19450-0425
(610) 482-4949
(610) 482-4950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051501
PA
Other
Enumeration date
03/21/2008
Last updated
01/02/2023
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