Individual
JESSICA A PALAKSHAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, PENN LUNG CENTER, 2ND FLOOR, PHILADELPHIA, PA 19104-5127
(215) 349-5488
Mailing address
3400 CIVIC CENTER BLVD, PENN LUNG CENTER, 2ND FLOOR, PHILADELPHIA, PA 19104-5127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-243768
MA
207RP1001X
Pulmonary Disease Physician
Primary
MD451313
PA
Other
Enumeration date
06/08/2010
Last updated
05/08/2017
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