Most Relevant Information
Provider Data
| NPI Number: | 1003575853 |
| Provider Name: | VICTOR ABARCA CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | RN705294 |
Most Important Dates
| Enumeration Date: | 12/09/2021 |
| Last Updated: | 12/09/2021 |
Provider Practice Location
5800 RIDGE AVE.
PHILADELPHIA
PA
19128
Practice Location Phone/Fax
| Phone: | 2514839900 |
| Fax: |
Provider Mailing Location
245 TRENT RD
WYNNEWOOD
PA
190963219
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |