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Individual

SUMITHRA REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-2749
(215) 938-3829
Mailing address
380 OXFORD VALLEY RD, LANGHORNE, PA 19047-8304
(215) 949-5000
(215) 807-8235

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
MA051672
PA
363AS0400X
Surgical Physician Assistant
Primary
OA000959
PA

Other

Enumeration date
02/02/2007
Last updated
09/23/2019
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