Individual
DR. JOSHUA EVAN KRAVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5501 OLD YORK ROAD, DEPARTMENT OF EMERGENCY MEDICINE, PHILADELPHIA, PA 19141
(215) 456-6336
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 851-7423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A13710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTO11814
OSTEOPATHIC TRAINEE LIC
PA
Enumeration date
05/23/2007
Last updated
09/22/2023
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