Individual
MS. VERONICA BLAMASAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PA-C
Contact information
Practice address
3400 SPRUCE STREET, 2 DULLES, PHILADELPHIA, PA 19104
(215) 746-6498
(215) 615-1602
Mailing address
717 STATION AVE APT D34, BENSALEM, PA 19020-7153
(215) 244-6353
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA-051602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA051602
LICENSE NUMBER
PA
Enumeration date
10/18/2006
Last updated
07/08/2007
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