Huffman-Devaughn, Pamela Ann

Huffman-Devaughn, Pamela Ann is an individual health care provider with primary practice located at 105 W School House Ln , Philadelphia PA 19144-3348. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Huffman-Devaughn, Pamela Ann can be contacted via phone (215) 848-9000.

Contact Information

Primary practice address
105 W School House Ln Philadelphia PA 19144-3348
Fax: (215) 848-7894
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD032197E Pennsylvania

Profile Details

NPI number 1588763874
LBN Legal business name Huffman-Devaughn, Pamela Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588763874 NPPES
Pennsylvania MEDICAID 00127323600002

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