Healthcare Provider Details

I. General information

NPI: 1982358370
Provider Name (Legal Business Name): EMILY GILHOOL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2022
Last Update Date: 02/05/2022
Certification Date: 02/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 S BRYN MAWR AVE
BRYN MAWR PA
19010-3121
US

IV. Provider business mailing address

4011 WASHINGTON DR
UPPER CHICHESTER PA
19061-2456
US

V. Phone/Fax

Practice location:
  • Phone: 484-337-3000
  • Fax:
Mailing address:
  • Phone: 610-761-1595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: