Individual
JADE M. MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 WALNUT ST STE 1210, PHILADELPHIA, PA 19107
(215) 928-3000
Mailing address
840 WALNUT ST STE 1210, PHILADELPHIA, PA 19107-5109
(215) 928-3000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA10375300
NJ
207W00000X
Ophthalmology Physician
Primary
MD464515
PA
Other
Enumeration date
05/22/2014
Last updated
07/17/2024
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