Individual
DR. JEFFREY KULLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3400 SPRUCE ST., PHILADELPHIA, PA 19104-4206
(215) 662-4000
Mailing address
3400 SPRUCE ST., PHILADELPHIA, PA 19104-4206
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228738
MA
207R00000X
Internal Medicine Physician
Primary
MD437484
PA
Other
Enumeration date
02/18/2007
Last updated
11/21/2011
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