Individual
MR. PAUL HOWELL ROLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
, M.M.SC., P.A.-C
Contact information
Practice address
NORTHEASTERN HOSPITAL, 2186 ALLEGHENY ROAD, PHILADELPHIA, PA 19114-1436
(215) 291-3620
Mailing address
2201 PENNSYLVANIA AVE, APT # 803, PHILADELPHIA, PA 19130-3513
(215) 587-0777
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052239
PA
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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