Individual
MS. MARY L. ANCZARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
312 S MAIN ST, SHENANDOAH, PA 17976-2341
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA002878L
PA
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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