Individual
JARED WILLIAM MCCRILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 PA-100 SUITE 120, MACUNGIE, PA 18062
(484) 426-2055
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TPT023555
PA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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