Individual
GIMENA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3500 N BROAD ST STE 124, PHILADELPHIA, PA 19140-4106
(215) 707-3656
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065088
PA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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