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Individual

CHELSEA A SMALLRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
450 CRESSON BOULEVARD, SUITE 110 BOX 876, OAKS, PA 19456-1109
(610) 728-6100
(610) 728-6071
Mailing address
450 CRESSON BOULEVARD, SUITE 110 BOX 876, OAKS, PA 19456-1109
(610) 728-6100
(610) 728-6071

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056923
PA
363A00000X
Physician Assistant
OA003313
PA

Other

Enumeration date
06/25/2014
Last updated
06/25/2014
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