Individual
JACK FREBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 349-8310
(215) 893-7270
Mailing address
1840 SOUTH ST, 2ND FL, PHILADELPHIA, PA 19146-7411
(215) 349-8310
(215) 893-7270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00794500
NJ
363A00000X
Physician Assistant
Primary
MA063789
PA
Other
Enumeration date
07/15/2022
Last updated
07/22/2025
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