Individual
DANA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-2632
Mailing address
1127 HAMILTON ST UNIT A, PHILADELPHIA, PA 19123-3761
(201) 452-2957
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT209712
PA
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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