Individual
ALICE A T MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 N. 39TH STREET, MOB 300, PHILADELPHIA, PA 19104-2640
(215) 662-2891
(215) 662-6734
Mailing address
51 N. 39TH STREET, MOB 300, PHILADELPHIA, PA 19104-2640
(215) 662-2891
(215) 662-6734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053933
PA
Other
Enumeration date
07/23/2009
Last updated
12/06/2012
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