Individual
ALANNA MARIE TICALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 W ONTARIO ST, PHILADELPHIA, PA 19140-5220
(215) 707-2400
(215) 707-4034
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD484745
PA
Other
Enumeration date
03/26/2021
Last updated
06/12/2024
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