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MARYANNE SPEISER PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1619207313

Individual Registrant:
 MARYANNE  SPEISER PA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3401 N BROAD ST  PHILADELPHIA, PA 19140-5103 US
Tel: 215-707-7237  Fax: 215-707-9389

Contact information for business:
PO BOX 827783  PHILADELPHIA, PA 19182-7783 US
Tel: 215-707-3911  Fax: 215-707-3677

Registration Information:
NPI: 1619207313
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
PAPA420062

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS PA - Page 1

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