Individual
JEANINE G DEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 BUSTLETON AVE, SUITE 100, PHILADELPHIA, PA 19152-3328
(215) 742-7890
(215) 742-7862
Mailing address
12265 TOWNSEND RD, STE 500, PHILADELPHIA, PA 19154-1201
(215) 859-1009
(215) 698-3730
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD072933L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019091350001
—
PA
Enumeration date
08/10/2005
Last updated
04/01/2008
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