Individual
AJA JACKSON DEVOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
220 W CHELTEN AVE, PHILADELPHIA, PA 19144-3803
(215) 310-7022
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OTO14993
PA
Other
Enumeration date
02/28/2013
Last updated
04/28/2025
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