Most Relevant Information
Provider Data
| NPI Number: | 1003675406 |
| Provider Name: | EMILY GAFFNEY GLEASON |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2024 |
| Last Updated: | 03/18/2024 |
Provider Practice Location
3400 CIVIC CENTER BLVD
PHILADELPHIA
PA
191045127
Practice Location Phone/Fax
| Phone: | 2158988001 |
| Fax: |
Provider Mailing Location
2124 PINE ST APT 2F
PHILADELPHIA
PA
191036560
Provider Mailing Phone/Fax
| Phone: | 4018350873 |
| Fax: |