Individual
MS. JACQUELINE S. URTECHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD437657
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266477
—
NJ
05
—
102615680
—
PA
Enumeration date
06/25/2008
Last updated
11/11/2011
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