Individual provider · Type 1 NPI

Shoudlie Manotte Joseph, SA-C

Surgical Assistant · Philadelphia, PA

NPI number 1639720865 Active

Practice location

5811 Bustleton Ave
Philadelphia, PA 19149-3405

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007X19-399 (FL)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1639720865

Shoudlie Manotte Joseph, SA-C's National Provider Identifier is 1639720865, issued on Sep 29, 2019. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 29, 2019.