Individual
MS. EMMA ROSE DEWYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, MMS, PA-C
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(800) 789-7366
Mailing address
225 E THOMPSON ST, PHILADELPHIA, PA 19125-3211
(989) 891-6777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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