Individual
DR. JACOB HARRY KOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 W TABOR RD STE 145, PHILADELPHIA, PA 19141-3019
(215) 456-9475
(215) 456-9529
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-7000
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MT215162
PA
Other
Enumeration date
06/15/2018
Last updated
03/20/2024
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