MEDICARE: CLAIRE GHOSH NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	SP019870	PA

General Provider Information

NPI Number	:	1104399336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE GHOSH NP

Provider Business Mailing Address
First Line	:	5 W COOPER AVE
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-2821
Country	:	US
Telephone Number	:	609-502-1049
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 WALNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5211
Country	:	US
Telephone Number	:	215-955-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2019
Last Update Date	:	03/03/2026

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