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NPI Code Detail

MEDICARE: DR. JEREMY JOSEPH MICHEL M.D.

MEDICARE:  DR. JEREMY JOSEPH MICHEL  M.D.
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
1208000000XPediatrics PhysicianMD448562PA

General Provider Information

NPI Number : 1346414992
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREMY JOSEPH MICHEL M.D.
Provider Business Mailing Address
First Line : 4865 MARKET ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3508
Country : US
Telephone Number : 267-425-9800
Fax Number :
Provider Business Practice Location Address
First Line : 4865 MARKET ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3508
Country : US
Telephone Number : 267-425-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2008
Last Update Date : 10/01/2013

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Directions to “ DR. JEREMY JOSEPH MICHEL M.D.” Practice Location

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