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Individual

DR. SERGIO A. JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
833 CHESTNUT ST, SUITE 740, PHILADELPHIA, PA 19107-4414
(215) 955-6680
(215) 503-3333
Mailing address
833 CHESTNUT ST, SUITE 740, PHILADELPHIA, PA 19107-4414

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD034713L
PA
207RR0500X
Rheumatology Physician
Primary
MD034713L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000662472
PA
05
2264200
NJ
Enumeration date
07/25/2006
Last updated
12/09/2014
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