Individual
MRS. AIDA KAREN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401-55 WEST ALLEGHENY AVENUE, PHILADELPHIA, PA 19133-3644
(215) 291-2500
(215) 291-2587
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 599-4851
(214) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA 053772
PA
Other
Enumeration date
12/15/2008
Last updated
07/20/2021
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