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TIA WISDO
Physician Assistant
NPI: 1427642263IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
0010-12070(NC)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Class of 2021
Contact & Hours
- Address
- 4170 CITY AVE
PHILADELPHIA, PA 19131 - Phone
- (215) 871-6100
Quick Facts
- NPI
- 1427642263
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 5
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