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Individual

DR. JEFFREY MATTHEW BARROSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
(267) 758-7900
Mailing address
205 RACE ST APT 4J, PHILADELPHIA, PA 19106-2043
(210) 577-9961

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT196024
PA
2084P0800X
Psychiatry Physician
Primary
MD447574
PA
2084P0800X
Psychiatry Physician
MT196024
PA

Other

Enumeration date
06/25/2009
Last updated
09/27/2021
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