Individual
JULIA SPECIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610
(215) 871-6100
Mailing address
490 RIVERSIDE DR, NEW YORK, NY 10027-5706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025678
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2020
Last updated
04/28/2021
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