Individual
ANGELINE JOHNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104-5127
(301) 503-4765
Mailing address
3400 CIVIC CENTER BLVD, 3RD FLOOR, WEST PAVILION, PHILADELPHIA, PA 19104
(301) 503-4765
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD484693
PA
Other
Enumeration date
04/01/2019
Last updated
07/18/2024
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