Individual
ADAM BLANKENBILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(717) 723-7817
Mailing address
5555 WISSAHICKON AVE APT 109, PHILADELPHIA, PA 19144-4534
(717) 723-7817
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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