Individual
JACOB BUDDEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 565-1048
Mailing address
173 JUNIPER RD, HAVERTOWN, PA 19083-5409
(215) 407-2937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026347
PA
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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