Individual
ANNA MARIA RIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1930 S BROAD ST UNIT 11, PHILADELPHIA, PA 19145-2328
(267) 758-2460
Mailing address
1930 S BROAD ST UNIT 11, PHILADELPHIA, PA 19145-2328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601006520
MI
363A00000X
Physician Assistant
Primary
MA055975
PA
Other
Enumeration date
11/29/2012
Last updated
03/03/2025
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