Individual
JEFFREY WILLIAM MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
(215) 955-2141
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD436196
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190811
—
NJ
05
—
1022806590001
—
PA
Enumeration date
03/24/2009
Last updated
05/13/2009
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