Individual
DR. CHRISTINE M JERPBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 301, PHILADELPHIA, PA 19107-4414
(215) 955-7190
(215) 923-9186
Mailing address
833 CHESTNUT ST, SUITE 301, PHILADELPHIA, PA 19107-4414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD066427L
PA
207V00000X
Obstetrics & Gynecology Physician
MD066427L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001803824
—
PA
05
—
0054275
—
NJ
Enumeration date
07/10/2006
Last updated
12/09/2014
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