Individual
JESSICA INTRAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107
(215) 955-6864
Mailing address
834 CHESTNUT ST, STE G114, PHILADELPHIA, PA 19107-5114
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD464417
PA
Other
Enumeration date
04/28/2014
Last updated
01/08/2019
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