Individual
CONNOR EMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PACKER AVE, PHILADELPHIA, PA 19148
(215) 876-0420
Mailing address
3 COBBLESTONE CT, MOORESTOWN, NJ 08057-4011
(856) 630-0347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454025
PA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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