Emily Carrillo, | |
301 S 8th St Ste 2l, Philadelphia, PA 19106-4017 | |
(215) 560-8409 | |
Not Available |
Full Name | Emily Carrillo |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 301 S 8th St Ste 2l, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386380467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN717487 (Pennsylvania) | Primary |
Entity Name | Society Hill Anesthesia Consultants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427003219 PECOS PAC ID: 5991617292 Enrollment ID: O20031119000358 |
Mailing Address | Practice Location Address |
---|---|
Emily Carrillo, 18086 Whisler Dr, Brownstown, MI 48173-8640 Ph: (734) 778-0973 | Emily Carrillo, 301 S 8th St Ste 2l, Philadelphia, PA 19106-4017 Ph: (215) 560-8409 |
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