Individual
AUTUMN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SYCAMORE DR, WEST GROVE, PA 19390-9480
(610) 869-9127
Mailing address
6 BROOK LAWN DR, LONG VALLEY, NJ 07853-3225
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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