Individual
MS. TAJMIA G MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7487
Mailing address
5501 OLD YORK RD, WILLOWCREST, PHILADELPHIA, PA 19141-3018
(215) 456-7487
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP022104
PA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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