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Individual

ERIC JACALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
800 SPRUCE STREET, 1 CATHCART, PHILADELPHIA, PA 19107-6130
(215) 662-3340
(215) 349-5890
Mailing address
800 SPRUCE STREET, 1 CATHCART, PHILADELPHIA, PA 19107-6130
(215) 662-3340
(215) 349-5890

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00384100
NJ
363A00000X
Physician Assistant
Primary
MA058233
PA

Other

Enumeration date
11/16/2015
Last updated
03/01/2021
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