Individual
DR. GEORGE JALAL DEKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BROAD AND VINE ST., PHILADELPHIA, PA 19102
(215) 762-7000
Mailing address
1503 GREEN ST APT 3, PHILADELPHIA, PA 19130-4040
(917) 499-9817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT200497
PA
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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