Individual
JEREMY W. RUPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHCA HEMATOLOGY & ONCOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-4183
Mailing address
100 E PENN SQ FL 9, CHCA HEMATOLOGY & ONCOLOGY, PHILADELPHIA, PA 19107-3377
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD444364
PA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD444364
PA
Other
Enumeration date
06/15/2007
Last updated
04/19/2017
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