Individual
DARIA LATCH PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
5501 WOODLAND AVENUE, PHILA, PA 19143
(215) 724-4700
(215) 724-3111
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000041L
PA
Other
Enumeration date
07/01/2005
Last updated
04/06/2017
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