Mariell L Jessup in Philadelphia - Cardiovascular Disease
Mariell L Jessup - NPI 1912937087
Mariell L Jessup is a Cardiovascular Disease in Philadelphia, Pennsylvania. Mariell L Jessup practices all healthcare services and medical treatments related to Cardiovascular Disease. 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 |
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Address | 3400 Civic Center Boulevard, Philadelphia, Pennsylvania |
Phone Number | 2156154949 |
Fax Number | 2156150829 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1912937087 |
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Provider Enumeration Date | 2006-07-04 |
Last Updated Date | 2012-04-04 |
Provider Mailing Address Detail
Address | 3400 Civic Center Boulevard |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191044306 |
Phone Number | 2156154949 |
Fax Number | 2156150829 |
Provider's Primary Taxonomy Detail
Speciality | Cardiovascular Disease |
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Taxonomy | 207Rc0000X |
Licence No | MD020586E |
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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 Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.
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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