Ellen Cannon

NPI # 

Practice Address:

3401 Civic Center Blvd

Philadelphia, PA, 19104-4319

Practice Phone:

610-209-6383

License Number:

MA058639

License State:

PA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Physician Assistant

Taxonomy Specialization:

Surgical

Taxonomy Code:

363AS0400X

Updated by NPPES on 1/26/2024. You can view the original data set for NPI # 1083169890 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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