Individual
JEFFREY I MONDSCHEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 1 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-3005
Mailing address
3400 SPRUCE ST, 1 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-3005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD073873L
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD073873L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018448180001
—
PA
Enumeration date
06/29/2006
Last updated
04/18/2018
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