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Individual

MARIAN HORNUNG QUAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2084
Mailing address
1742 PARADISE LN, BENSALEM, PA 19020-3631
(215) 639-8773

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000686L
PA

Other

Enumeration date
09/06/2015
Last updated
09/06/2015
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