Individual
DR. JONATHAN S MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 WALNUT ST STE 1110, PHILADELPHIA, PA 19107-5109
(215) 928-3197
(215) 928-0166
Mailing address
840 WALNUT ST STE 1110, PHILADELPHIA, PA 19107-5109
(215) 928-3197
(215) 928-0166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA06114100
NJ
207W00000X
Ophthalmology Physician
C1005549
DE
207W00000X
Ophthalmology Physician
Primary
MD053800L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649751
—
PA
05
—
6265901
—
NJ
Enumeration date
06/16/2005
Last updated
01/24/2019
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