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Individual

DR. PURVI JITENDRA JETHVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1201 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047
(215) 710-2000
(215) 710-5801
Mailing address
100 PENN SQUARE EAST, 9TH FLOOR NORTH TOWER, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
25MA08563000
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD425445
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021986940015
PA
Enumeration date
05/24/2006
Last updated
02/19/2020
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