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Individual

DR. JAKE ALDEN KUSHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3615 CIVIC CENTER BLVD, CHOP ENDOCRINE, ARC 802C, PHILADELPHIA, PA 19104-4318
(267) 426-5717
(215) 590-1605
Mailing address
3615 CIVIC CENTER BLVD, CHOP ENDOCRINE, ARC 802C, PHILADELPHIA, PA 19104-4318
(267) 426-5717
(215) 590-1605

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD423023
PA
2080P0205X
Pediatric Endocrinology Physician
Primary
MD423023
PA

Other

Enumeration date
05/18/2006
Last updated
05/23/2012
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