Individual
HADIJATOU JOYCE JARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
(215) 684-5360
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
(215) 684-5360
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD427829
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD427829
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145VY
BCBS
NC
05
—
5907226
—
NC
Enumeration date
05/08/2007
Last updated
09/09/2024
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