Search › Pennsylvania › 170300000X
Derek Ansel
NPI 1720810765 · on the registry since 2024 · sole proprietor
Practice
- Address
- 615 Poplar St
Philadelphia, PA 19123 - Phone
- (610) 883-7990
Registry record
- Primary taxonomy
- 170300000X
170300000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania