Individual
CLARE PISONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, GROUND RHOADS PAVILION, PHILADELPHIA, PA 19104
(215) 662-6779
Mailing address
3400 SPRUCE ST, GROUND RHOADS PAVILLION, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001300L
PA
Other
Enumeration date
07/04/2006
Last updated
03/21/2011
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