Individual
JOANN GALLAGHER DITALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34TH & CIVIC CENTER BLVD, CHILDRENS HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4399
(215) 590-1497
(215) 590-1501
Mailing address
34TH & CIVIC CENTER BLVD, CHILDRENS HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4399
(215) 590-1497
(215) 590-1501
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
VP004146N
PA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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