Unknown Individual – Physician Assistant, NPI 1295832632
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Philadelphia Post Office, Church Avenue, Philadelphia, Neshoba County, Mississippi, 39350, United States
PHILADELPHIA, PA 191788500
Phone: (517) 787-6440
Type: Mailing
AtlantiCare Regional Medical Center, 65, Jimmie Leeds Road, Monticello Estates, Galloway Township, Atlantic County, New Jersey, 08240, United States
POMONA, NJ 08240
Phone: (609) 748-7088
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19178)
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