Individual
SUSAN TRONCELLITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 MARKET ST, PHILADELPHIA, PA 19104-5502
(215) 662-6100
Mailing address
3701 MARKET ST, PHILADELPHIA, PA 19104-5502
(215) 662-6100
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
UP000979G
PA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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