Organization
PVAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARMAINE SUZETTE JONES PA-C (PHYSICIAN ASSISTANT)
(215) 823-6068
Entity
Organization
Contact information
Practice address
3800 WOODLAND AVE, PHILADELPHIA, PA 19104
(215) 823-5800
(215) 823-4248
Mailing address
3800 WOODLAND AVE, PHILADELPHIA, PA 19104
(215) 823-5800
(215) 823-4248
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MA000787L
PA
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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