Individual
JEFFREY LAARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-0800
Mailing address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-0800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054814
PA
Other
Enumeration date
06/30/2008
Last updated
08/15/2013
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