Individual
CODY-AARON GATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD., DIVISION OF CRITICAL CARE, PHILADELPHIA, PA 19104
(267) 426-2958
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF CRITICAL CARE, PHILADELPHIA, PA 19104
(267) 426-2958
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MT219842
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
06/25/2020
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