Jesse Michael Civan in Philadelphia - Gastroenterology

Jesse Michael Civan - NPI 1316000805

Jesse Michael Civan is a Gastroenterology in Philadelphia, Pennsylvania. Jesse Michael Civan practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jesse Michael Civan is 1316000805. The last update date is 2013-05-20.

Jesse Michael Civan's current location address is 132 South 10th Street, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159558900 and fax number 2159555245. The mailing address for Jesse Michael Civan is 132 South 10th Street, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesse Michael Civan
Address 132 South 10th Street, Philadelphia, Pennsylvania
Phone Number 2159558900
Fax Number 2159555245
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1316000805
Provider Enumeration Date 2006-12-18
Last Updated Date 2013-05-20

Provider Mailing Address Detail

Address 132 South 10th Street
City Philadelphia
State Pennsylvania (PA)
Post Code 19107
Phone Number 2159558900
Fax Number 2159555245

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No MD436852
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

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FAQs about Jesse Michael Civan

What is the unique 10-digit identification code assigned to Jesse Michael Civan by the Centers for Medicare & Medicaid Services?

The Jesse Michael Civan has been issued the NPI (National Provider Identifier) 1316000805, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jesse Michael Civan is geographically located?

The Jesse Michael Civan is physically situated at the following location: 132 South 10Th Street, Philadelphia, PA, 19107.

What is Jesse Michael Civan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jesse Michael Civan is Gastroenterology, and the taxonomy code that classifies this field of practice is 207Rg0100X.

On what date did Jesse Michael Civan receive its 1316000805 assignment from the Centers for Medicare & Medicaid Services?

The Jesse Michael Civan was assigned its 1316000805 on 2006-12-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jesse Michael Civan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jesse Michael Civan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-20.

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