Individual
MRS. LINDA MARANOWSKI PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-CERTIFIED
Contact information
Practice address
136 S PINE AVE, BOX 340, STOYSTOWN, PA 15563-6002
(814) 893-5568
(814) 893-5989
Mailing address
430 STONYCREEK ST, BOSWELL, PA 15531-1024
(814) 629-5612
(814) 629-7199
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000081L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007698380001
—
PA
05
—
1007698380002
—
PA
Enumeration date
05/17/2006
Last updated
12/19/2007
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