Individual
DR. JOHN CHARLES PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
642 BEAVER ST, BRISTOL, PA 19007
(215) 785-2626
(215) 785-2665
Mailing address
5363 OXFORD AVE, PHILADELPHIA, PA 19124-1123
(215) 288-0707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010460L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0870347000
IBC
PA
Enumeration date
06/05/2006
Last updated
08/05/2019
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