Individual provider · Type 1 NPI

Shelley Blaker, PA

Medical Physician Assistant · Phila, PA

NPI number 1326293523 Active

Practice location

5401 Old York Rd, Willowcrest Bldg, 4th Fl
Phila, PA 19141-3030

Call (215) 456-3953 Map

Fax (215) 456-5948

Mailing address

101 E Olney Ave, Suite 400
Phila, PA 19120-2421

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA053673 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1326293523

Shelley Blaker, PA's National Provider Identifier is 1326293523, issued on Dec 2, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phila, PA. The record was last updated on Dec 2, 2008.