Individual provider · Type 1 NPI

Jessica Lauren Dell'aquila, PAC

Surgical Physician Assistant · Philadelphia, PA

NPI number 1932755071 Active

Practice location

3400 Civic Center Blvd Fl 4
Philadelphia, PA 19104-5127

Call (215) 662-2626 Map

Fax (215) 614-0244

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA060797 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1932755071

Jessica Lauren Dell'aquila, PAC's National Provider Identifier is 1932755071, issued on Aug 14, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 21, 2022.