Individual
MS. CAROL GUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, AGNP-BC
Contact information
Practice address
925 CHESTNUT ST STE 420A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
Mailing address
2016 LONGSHORE AVE, PHILADELPHIA, PA 19149-1815
(267) 205-2727
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN302959L
PA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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