Individual
DR. JONATHAN SCROBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-2000
Mailing address
699 N BROAD ST APT 1010, PHILADELPHIA, PA 19123-2456
(267) 924-3113
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS023414
PA
207R00000X
Internal Medicine Physician
OT020133
PA
Other
Enumeration date
06/25/2020
Last updated
06/05/2024
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