Individual
DR. JEFFREY MINUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 858-6351
Mailing address
3322 N BROAD ST, PHILADELPHIA, PA 19140-5185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT220324
PA
Other
Enumeration date
06/23/2020
Last updated
10/21/2020
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