Individual
MOLLY CATHERINE PETERS
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) 316-5151
Mailing address
4338 BOONE ST, PHILADELPHIA, PA 19128-4901
(484) 680-8236
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
06/22/2021
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