Individual
JESSICA M. REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3326
(215) 707-8028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
P25284
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
OS017623
PA
Other
Enumeration date
05/12/2010
Last updated
04/30/2018
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