Individual
ALLYSON RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5435
Mailing address
2518 POPLAR ST # 3F, PHILADELPHIA, PA 19130-1319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT219292
PA
Other
Enumeration date
06/26/2019
Last updated
06/27/2019
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