Individual
JESSICA VONDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6192
(215) 829-7817
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD473303
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD473303
PA
Other
Enumeration date
05/20/2016
Last updated
03/28/2023
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