Individual
JESSE IWANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7000
Mailing address
1135 PINE ST, 2ND FLOOR, PHILADELPHIA, PA 19107-6212
(215) 923-0718
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT182133
PA
Other
Enumeration date
07/05/2006
Last updated
02/01/2022
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