Individual
JENNIFER GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
(215) 955-6864
Mailing address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT231780
PA
Other
Enumeration date
04/08/2024
Last updated
05/18/2024
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