Individual provider · Type 1 NPI

Yessenia Leonor Caballero-Tilleria, PAC

Surgical Physician Assistant · Philadelphia, PA

NPI number 1265974448 Active

Practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Call (215) 612-4000 Map

Mailing address

2213 Amber St
Philadelphia, PA 19125-2017

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XOA003987 (PA)
Surgical Physician Assistant Primary 363AS0400XMA058602 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1265974448

Yessenia Leonor Caballero-Tilleria, PAC's National Provider Identifier is 1265974448, issued on Nov 5, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 15, 2019.