Individual
DR. JONATHAN KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-0000
(215) 662-2737
Mailing address
3624 MARKET ST, 560W, PHILADELPHIA, PA 19104-0000
(215) 662-2737
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD424017
PA
207N00000X
Dermatology Physician
ME 92201
FL
Other
Enumeration date
10/26/2005
Last updated
08/29/2012
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