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Individual

ANNIE PERNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3400 CIVIC CENTER BLVD, 1 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-3202
Mailing address
3400 CIVIC CENTER BLVD, 1 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-3202

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
SP018147
PA

Other

Enumeration date
12/21/2017
Last updated
12/21/2017
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