Individual
ALAN JEREMY GANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107-4405
(215) 955-8465
(215) 955-2516
Mailing address
833 CHESTNUT ST, SUITE 220, PHILADELPHIA, PA 19107-4414
(215) 955-8465
(215) 955-2516
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
06/08/2015
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