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Individual

DR. JAKE KIESERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD481943
PA

Other

Enumeration date
05/06/2021
Last updated
06/26/2024
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