Individual
JUAN PABLO OSPINA BOTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 2 RAVDIN, PHILADELPHIA, PA 19104-4204
(215) 662-3606
(215) 349-5579
Mailing address
3400 SPRUCE STREET, 3 W GATES, PHILADELPHIA, PA 19104-4204
(215) 662-3606
(215) 349-5579
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD489994
PA
Other
Enumeration date
03/28/2019
Last updated
11/10/2025
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