Individual
ALYCIA LING SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-3095
(215) 728-2773
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-3411
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD484768
PA
208600000X
Surgery Physician
U4021
TX
Other
Enumeration date
04/13/2018
Last updated
06/06/2024
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