Individual
DR. JORDAN BENJAMIN RAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140
(215) 707-7237
(215) 707-9389
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-7237
(215) 707-9389
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MT205152
PA
2085R0202X
Diagnostic Radiology Physician
25MA10104300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD461409
PA
Other
Enumeration date
04/29/2012
Last updated
09/20/2018
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