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NPI Code Detail

MEDICARE: CONSTANCE ORJI PAC

MEDICARE: CONSTANCE ORJI PAC
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
1363A00000XPhysician AssistantMA050814PA

General Provider Information

NPI Number : 1497795009
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSTANCE ORJI PAC
Provider Business Mailing Address
First Line : 7517 MALVERN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19151-2815
Country : US
Telephone Number : 215-877-2395
Fax Number :
Provider Business Practice Location Address
First Line : 4900 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-2618
Country : US
Telephone Number : 215-831-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 08/14/2019

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Directions to “ CONSTANCE ORJI PAC” Practice Location

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