Individual
ADAM UMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-1956
Mailing address
2731 N 46TH ST, PHILADELPHIA, PA 19131-1502
(405) 371-9841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061097
PA
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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