Ilyssa Liberto
NPI #1437933298 in Ridley Park, Pennsylvania
Provider Information
- NPI Number
- 1437933298
- Entity Type
- Individual
- Name
- Ilyssa Liberto
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Aug 22, 2023
- Last Updated
- Apr 16, 2024
Practice Location
- Address
- 1 BARTOL AVE STE 100
- City
- Ridley Park
- State
- Pennsylvania
- ZIP Code
- 19078-2214
- Phone
- (610) 521-9996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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