MEDICARE: JAY J HANDLER 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	208800000X	Urology Physician	MD011070E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0053506000	OTHER	PA	KEYSTONE IBC
2	232691968	OTHER	PA	HEALTH PARTNERS
3	30106254	OTHER	PA	KEYSTONE MERCY
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	149576	OTHER	PA	HIGHMARK BLUE SHIELD
6	8315367	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1649273251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY J HANDLER MD

Provider Business Mailing Address
First Line	:	PO BOX 8500-6335
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-6335
Country	:	US
Telephone Number	:	215-698-7333
Fax Number	:	215-673-9492

Provider Business Practice Location Address
First Line	:	2137 WELSH RD
Second Line	:	STE 2D
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-4963
Country	:	US
Telephone Number	:	215-698-7333
Fax Number	:	215-673-9492

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	11/05/2012

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Directions to “ JAY J HANDLER MD” Practice Location

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