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Individual

ANGIE CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8360 OLD YORK RD, ELKINS PARK, PA 19027-1576
(303) 726-3620
Mailing address
123 W END AVE, HADDONFIELD, NJ 08033-2617
(303) 726-3620

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
41YS00791200
NJ
261QH0700X
Hearing and Speech Clinic/Center
Primary
SL012082
PA

Other

Enumeration date
05/26/2015
Last updated
05/26/2015
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