Individual
DR. JOSEPH A JELEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 HOLME AVE, SUITE 301, PHILADELPHIA, PA 19152-2029
(215) 335-3315
(215) 333-7921
Mailing address
2701 HOLME AVE, SUITE 301, PHILADELPHIA, PA 19152-2029
(215) 335-3315
(215) 333-7921
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD022825E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009047240001
—
PA
01
—
0052427000
KEYSTONE HRE
PA
01
—
30573
AETNA US HEALTHCARE
PA
01
—
JE430760
PA BLUE SHIELD
PA
Enumeration date
09/21/2005
Last updated
06/28/2010
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