Individual
JOHN SJ BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE STREET, 6 PRESTON, PHILADELPHIA, PA 19107
(215) 829-3541
(215) 829-7564
Mailing address
800 SPRUCE STREET, 6 PRESTON, PHILADELPHIA, PA 19107
(215) 829-3541
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
MD016947E
PA
207ZP0101X
Anatomic Pathology Physician
MD016947E
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD016947E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010476120001
—
PA
Enumeration date
06/21/2006
Last updated
10/16/2013
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