Individual
JACLYN BETH GURWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1018 W 9TH AVE STE 100, KING OF PRUSSIA, PA 19406-1225
(610) 337-1580
(610) 337-2133
Mailing address
1018 W 9TH AVE STE 100, KING OF PRUSSIA, PA 19406-1225
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
71271-20
WI
207W00000X
Ophthalmology Physician
Primary
MD473326
PA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
71271-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194107649
—
WI
Enumeration date
06/22/2015
Last updated
02/08/2022
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