Individual
RICHARD L. JAHNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 WEST CHESTER PIKE, WELLNESS CENTER; SUITE 310, HAVERTOWN, PA 19083-2737
(610) 446-2260
(610) 446-3360
Mailing address
2010 WEST CHESTER PIKE, WELLNESS CENTER; SUITE 310, HAVERTOWN, PA 19083-2737
(610) 446-2260
(610) 446-3360
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0290208E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180008668
RAILROAD MEDICARE
PA
01
—
23-2075896
TAX ID
PA
Enumeration date
06/17/2005
Last updated
05/10/2012
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