Individual
MS. MARY ANN HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104
(215) 823-6388
(215) 823-4182
Mailing address
5224 OLEANDER RD, DREXEL HILL, PA 19026
(215) 823-6388
(215) 823-4182
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
TP003485H
PA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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