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Individual

MRS. INNA SHUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5501 OLD YORK RD, KLEIN 510, PHILADELPHIA, PA 19141-3018
(215) 456-3443
Mailing address
5501 OLD YORK RD, KLEIN SUITE 510, PHILADELPHIA, PA 19141-3018
(215) 456-3443

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA056518
PA
363AS0400X
Surgical Physician Assistant
Primary
MA056518
PA

Other

Enumeration date
01/12/2014
Last updated
05/23/2016
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