Individual
MR. LAWRENCE JAY KESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8200 HENRY AVE, STE G-1, PHILADELPHIA, PA 19128
(215) 482-2336
(215) 483-4389
Mailing address
8200 HENRY AVE, STE G-1, PHILADELPHIA, PA 19128
(215) 482-2336
(215) 483-4389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD025168E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD025168E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001681445
—
PA
01
—
033962
BLUE SHIELD
PA
Enumeration date
07/29/2005
Last updated
03/11/2016
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