Individual
ASHLEY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9331 OLD BUSTLETON AVE STE 100A, PHILADELPHIA, PA 19115
(215) 671-0653
(215) 671-0970
Mailing address
2450 W HUNTING PARK AVE FL 2, PHILADELPHIA, PA 19129-1302
(215) 926-9022
(215) 226-8286
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060555
PA
Other
Enumeration date
02/25/2019
Last updated
03/04/2019
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