Individual
DR. JONATHAN MARK RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1629 MONK RD, GLADWYNE, PA 19035-1349
(610) 649-8717
Mailing address
PO BOX 470, GLADWYNE, PA 19035-0470
(610) 649-8717
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD029406E
PA
Other
Enumeration date
01/10/2016
Last updated
01/10/2016
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