IndividualActive
Shoudlie Joseph, SA-C
NPI 1639720865 · Surgical Assistant · Philadelphia, PA
Provider details
- NPI number
- 1639720865
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- SA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19-399 (FL)
Practice location
5811 Bustleton Ave
Philadelphia, PA 19149-3405
Phone: (347) 444-0241
Mailing address
5811 Bustleton Ave
Philadelphia, PA 19149-3405
Registry dates
- Enumerated
- 2019-09-29
- Last updated
- 2019-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.