Individual
TALON DEEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
412 LENAPE LN, YARDLEY, PA 19067-5607
(907) 687-9700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028872
PA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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