Individual
FIONA HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610
(215) 871-6772
Mailing address
919 CONESTOGA RD STE 2-106, BRYN MAWR, PA 19010-1353
(610) 525-5028
(610) 672-0424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA062816
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
12/28/2020
Last updated
11/02/2021
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