Individual
DEREK ANSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 POPLAR ST, PHILADELPHIA, PA 19123-1342
(610) 883-7990
Mailing address
615 POPLAR ST, PHILADELPHIA, PA 19123-1342
(610) 883-7990
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000968
PA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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