Individual ProviderVeronica BlamasahPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104(215) 746-6498(215) 244-6353PECOS EnrollmentBased on the most recent information from CMS, provider Veronica Blamasah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1427139922Provider TypeIndividualFull NameBlamasah, VeronicaTitleMs.CredentialMHS, PA-CGenderFemaleSole ProprietorNoEnumeration Date10/18/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104Phone(215) 746-6498Fax(215) 615-1602Mailing LocationMailing Address717 Station Ave Apt D34, Bensalem, PA 19020-7153Phone(215) 244-6353FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA-051602PennsylvaniaProvider IdentifiersIDDescriptionIssuerIDMA051602DescriptionOtherIssuerLICENSE NUMBERPennsylvania