Phyllis Ann Immitti, DMD is a student in an organized health care education training program in Philadelphia, PA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Phyllis Ann Immitti, DMD NPI is 1669112116. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3400 SPRUCE ST
PHILADELPHIA, PA
ZIP 19104-238
Phone: (718) 887-6018
The NPI 1669112116 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/31/2022 and was last updated on 3/31/2022.