Most Relevant Information
Provider Data
| NPI Number: | 1003660325 |
| Provider Name: | EMILY PENN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | MA065464 |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
3401 CIVIC CENTER BLVD
PHILADELPHIA
PA
191044319
Practice Location Phone/Fax
| Phone: | 8648737639 |
| Fax: |
Provider Mailing Location
3401 CIVIC CENTER BLVD
PHILADELPHIA
PA
191044319
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |