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Individual

MRS. CORI WINIFRED CONNORS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3737 MARKET ST FL 8, PHILADELPHIA, PA 19104-5545
(215) 662-3340
Mailing address
3737 MARKET ST FL 8, PHILADELPHIA, PA 19104-5545
(215) 662-3340
(215) 222-8875

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126002156
VA
363A00000X
Physician Assistant
Primary
MA064113
PA
363AM0700X
Medical Physician Assistant
MA064113
PA
363AS0400X
Surgical Physician Assistant
MA064113
PA

Other

Enumeration date
07/30/2014
Last updated
11/28/2022
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