Individual
MS. JOHANNA BERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
321 W GIRARD AVE, PHILA, PA 19123-1531
(215) 685-3808
Mailing address
321 W GIRARD AVE, PHILA, PA 19123-1531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002526L
PA
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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