Individual
JESSICA DEFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST STE 301, SUITE 301, PHILADELPHIA, PA 19107-4414
(215) 955-7190
(215) 955-8600
Mailing address
833 CHESTNUT ST STE 301, SUITE 301, PHILADELPHIA, PA 19107-4414
(215) 955-2363
(215) 955-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD469188
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
08/16/2020
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