Individual
JULIE MARTINA PERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-3095
(215) 728-2773
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066525
PA
Other
Enumeration date
10/10/2018
Last updated
01/22/2026
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