MEDICARE: WILLIAM M JANTSCH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD441854	PA
2	207P00000X	Emergency Medicine Physician	35043814	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245382241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM M JANTSCH MD

Provider Business Mailing Address
First Line	:	2607 RHAWN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3038
Country	:	US
Telephone Number	:	215-333-0304
Fax Number	:	215-333-1402

Provider Business Practice Location Address
First Line	:	2607 RHAWN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3038
Country	:	US
Telephone Number	:	215-333-0304
Fax Number	:	215-333-1402

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/08/2019

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Directions to “ WILLIAM M JANTSCH MD” Practice Location

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