Doctor Name: | KATHY-ANN HIDALGO |
NPI Number: | 1275590770 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA051583 |
Business Practice Address: | 833 Durham Rd Penndel, PA - 190475736 |
Business Phone Number: | 2157525433 |
Business Fax Number: | 2157521904 |
Mailing Address: | 833 Durham Rd, PENNDEL |
State: | PA |
Postal Code: | 190475736 |
Phone Number: | 2157525433 |
Fax Number: | 2157521904 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA051583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |