Individual
MRS. JAIBY V GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3401 N. BROAD STREET, PHILADELPHIA, PA 19140
(215) 707-3326
(215) 707-8028
Mailing address
2450 W. HUNTING PARK AVENUE, PHILADELPHIA, PA 19129
(215) 707-3326
(215) 707-8028
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
075690
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN505116L
PA
Other
Enumeration date
09/21/2007
Last updated
04/27/2018
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