Individual
ALIZABETH BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
925 CHESTNUT ST STE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
(215) 955-2340
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058039
PA
Other
Enumeration date
12/28/2015
Last updated
12/14/2018
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