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Organization

MT. AIRY PEDIATRICS, P.C.

Active
Other names
Mt. Airy Pediatrics, PC
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LOUIS JADOTTE (PRACTICE MANAGER)
(215) 247-2996
Entity
Organization

Contact information

Practice address
6673 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2252
(215) 247-2996
(215) 247-7504
Mailing address
6673 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2252
(215) 247-2996
(215) 247-7504

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000465921
BLUE SHIELD/HIGH MARK
PA
01
0055732001
INDEPENDENCE BLUE CROSS
PA
01
1026452
KEYSTONE MERCY
PA
01
1781620
UNITED HEALTHCARE
PA
01
6524
AETNA
PA
Enumeration date
10/09/2013
Last updated
04/26/2022
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