Individual
JACK LUDMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3008
Mailing address
3500 N BROAD ST # 1A, PHILADELPHIA, PA 19140-4106
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD028241E
PA
207VM0101X
Maternal & Fetal Medicine Physician
MD028241E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001082931
—
PA
Enumeration date
07/04/2006
Last updated
11/30/2022
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