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Individual

MS. PRISCILLA PHILIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
1625 PARKRIDGE CIR, APT 115, CROFTON, MD 21114-2805
(215) 964-1209
Mailing address
1625 PARKRIDGE CIR, APT 115, CROFTON, MD 21114-2805
(215) 964-1209

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
012578
NY
363A00000X
Physician Assistant
C0004423
MD
363A00000X
Physician Assistant
Primary
PA07901
TX

Other

Enumeration date
10/16/2006
Last updated
08/21/2012
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