Individual
DR. GARY ANDREW DELLACERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
132 S 10TH ST FL 10, PHILADELPHIA, PA 19107
(215) 955-6226
Mailing address
101 E OLNEY AVE, STE 400, PHILADELPHIA, PA 19120-2470
(215) 955-6226
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
OS019610
PA
Other
Enumeration date
04/15/2013
Last updated
12/18/2018
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