Individual
DR. DENISE JIALI XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3370
Mailing address
3400 SPRUCE STREET, 2 RAVDIN, PHILADELPHIA, PA 19104-4206
(215) 662-3606
(215) 349-5579
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA11864100
NJ
2084N0400X
Neurology Physician
Primary
MD481345
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276066
—
MA
Enumeration date
06/17/2018
Last updated
10/16/2023
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