Individual
JEREMY D KUKAFKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 4 DULLES BLDG, PHILADELPHIA, PA 19104-4206
(215) 349-8310
Mailing address
3400 SPRUCE ST, 4 DULLES BLDG, PHILADELPHIA, PA 19104-4206
(215) 349-8310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD431196
PA
Other
Enumeration date
12/14/2006
Last updated
09/02/2015
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