Individual
JENNIFER PRESCOTT-CORAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2100 W CAMBRIA ST, PHILADELPHIA, PA 19132-2632
(215) 578-3300
(215) 578-3335
Mailing address
2100 W CAMBRIA ST, PHILADELPHIA, PA 19132-2632
(215) 578-3300
(215) 578-3335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2703
WI
207Q00000X
Family Medicine Physician
Primary
OS008842L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001644110
—
PA
Enumeration date
08/10/2005
Last updated
10/28/2024
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