Individual
MATTHEW KELLY JANSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(720) 201-6450
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6192
(215) 829-5145
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25MA11848600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2016
Last updated
09/01/2023
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