Individual
AHMED ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP-AGPC
Contact information
Practice address
7600 CENTRE AVE, PHILADELPHIA, PA 19111
(609) 325-1577
Mailing address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(609) 325-1577
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP028431
PA
Other
Enumeration date
02/23/2024
Last updated
08/28/2024
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