Individual
ASHLEY DELUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-3297
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-3297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064338
PA
Other
Enumeration date
11/03/2016
Last updated
03/26/2024
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