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Individual

WILLIAM M JANTSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2607 RHAWN ST, PHILADELPHIA, PA 19152-3038
(215) 333-0304
(215) 333-1402
Mailing address
2607 RHAWN ST, PHILADELPHIA, PA 19152-3038
(215) 333-0304
(215) 333-1402

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35043814
OH
207P00000X
Emergency Medicine Physician
MD441854
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0554225
OH
Enumeration date
01/18/2007
Last updated
07/08/2019
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