Emma Grace Souza
Physician Assistant in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1982304739
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1982304739
- Entity type
- Individual (NPI-1)
- Name
- Emma Grace Souza
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA065768 | PA | Yes |
Practice location
360 Ridgewood Ave Fl 1Pittsburgh, PA 15229-1969
Phone 910-724-5515
Mailing address
360 Ridgewood Ave Fl 1Pittsburgh, PA 15229-1969
Phone 910-724-5515
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