Individual
EMMA HANCOCK EISENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
9 KEVIN WAY, MALVERN, PA 19355-2012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063378
PA
363A00000X
Physician Assistant
OA006020
PA
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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