Organization
DELAWARE VALLEY FIRST ASSIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TOBIAS GRAY (PRESIDENT)
(615) 345-5510
Entity
Organization
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000
Mailing address
214 CENTERVIEW DR, SUITE 100, BRENTWOOD, TN 37027-5274
(615) 345-5510
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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