Individual
DR. JAY SRIRAM PATHMANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3606
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3606
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
233799
MA
2084N0400X
Neurology Physician
Primary
MD459162
PA
Other
Enumeration date
04/06/2007
Last updated
11/01/2016
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