Individual
DR. JACK ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-2000
Mailing address
1316 W ONTARIO ST, PHILADELPHIA, PA 19140-5220
(804) 615-4332
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD476370
PA
Other
Enumeration date
06/27/2019
Last updated
06/02/2022
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