Individual
DR. ROY A JACKEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 DEKALB PIKE, NORTH WALES, PA 19454-1853
(215) 699-3727
Mailing address
124 DEKALB PIKE, NORTH WALES, PA 19454-1853
(215) 699-3727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD033193E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010499280001
—
PA
Enumeration date
01/17/2006
Last updated
07/08/2007
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