Individual
EMILY LYDIA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 520-7239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064405
PA
Other
Enumeration date
04/13/2023
Last updated
09/18/2023
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