Excelsia Pa, Pllc
NPI #1831807304 in Glenolden, Pennsylvania
Provider Information
- NPI Number
- 1831807304
- Entity Type
- Organization
- Organization Name
- Excelsia Pa, Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 14, 2022
- Last Updated
- Nov 14, 2022
Practice Location
- Address
- 901 W ASHLAND AVE
- City
- Glenolden
- State
- Pennsylvania
- ZIP Code
- 19036-1101
- Phone
- (610) 461-6450
Authorized Official
- Name
- CONSTANTINE MISOUL
- Title
- MEDICAL DIRECTOR
- Phone
- (410) 933-5678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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