Individual
GILL OBIAGELI OFOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1999 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2828
(215) 228-9300
(215) 228-9913
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP018397
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018397
PA
Other
Enumeration date
04/10/2018
Last updated
05/15/2026
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