Individual
DR. JONATHAN JOSEPH MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-4000
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD474418
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
06/25/2010
Last updated
02/18/2022
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