Individual
JAIMOL SUJITH SREEDHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5024 PENNELL RD, ASTON, PA 19014-1868
(610) 228-0707
Mailing address
505 CONCORD RD, BROOMALL, PA 19008-3118
(484) 535-1555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020944
PA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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