Individual
SHANNON MARY CHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-6698
(215) 662-3953
Mailing address
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-6698
(215) 662-3953
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059683
PA
Other
Enumeration date
01/12/2018
Last updated
02/17/2018
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