Individual
ELLEN ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-3055
Mailing address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-3055
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA002907L
PA
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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