Mariell L Jessup in Philadelphia - Internal Medicine
Mariell L Jessup - NPI 1912937087
Mariell L Jessup is a Internal Medicine in Philadelphia, Pennsylvania. Mariell L Jessup practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mariell L Jessup is 1912937087. The last update date is 2012-04-04.
Mariell L Jessup's current location address is 3400 Civic Center Boulevard, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156154949 and fax number 2156150829. The mailing address for Mariell L Jessup is 3400 Civic Center Boulevard, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mariell L Jessup |
|---|---|
| Address | 3400 Civic Center Boulevard, Philadelphia, Pennsylvania |
| Phone Number | 2156154949 |
| Fax Number | 2156150829 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912937087 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2012-04-04 |
Provider Mailing Address Detail
| Address | 3400 Civic Center Boulevard |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191044306 |
| Phone Number | 2156154949 |
| Fax Number | 2156150829 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD020586E |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10720780010 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mariell L Jessup by the Centers for Medicare & Medicaid Services (CMS)?
The Mariell L Jessup has been assigned the NPI (National Provider Identifier) 1912937087. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mariell L Jessup's physical address?
The Mariell L Jessup is physically located at 3400 Civic Center Boulevard, in the city of Philadelphia, PA, with the postal code 191044306.
What is Mariell L Jessup's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mariell L Jessup is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
When did the Mariell L Jessup receive its 1912937087?
The Mariell L Jessup was issued its 1912937087 on 2006-07-04, which is the date when the organization was assigned this unique identifier.
When was the information related to Mariell L Jessup most recently updated or refreshed?
The details pertaining to the Mariell L Jessup, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-04.
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