Individual
JULIE NIBLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BROAD AND VINE STREETS, HAHNEMANN UNIVERSITY HOSPITAL,, PHILADELPHIA, PA 19102
(215) 762-1199
(215) 762-1474
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00325400
NJ
363A00000X
Physician Assistant
MA052614
PA
Other
Enumeration date
07/02/2007
Last updated
09/20/2021
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