Individual
BRIDGET MCCAFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9320 TULIP ST, PHILADELPHIA, PA 19114-4017
(267) 432-1899
Mailing address
9320 TULIP ST, PHILADELPHIA, PA 19114-4017
(267) 432-1899
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
TE011302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26163746
—
PA
Enumeration date
03/09/2017
Last updated
03/09/2017
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