Individual
ERIN KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3807
Mailing address
3400 SPRUCE ST, 3 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-3807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00363000
NJ
363AS0400X
Surgical Physician Assistant
Primary
MA057484
PA
Other
Enumeration date
04/13/2015
Last updated
11/09/2017
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