Individual
JOSEPH M SERLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 10 PENN TOWER, PHILADELPHIA, PA 19104
(215) 662-7090
Mailing address
3624 MARKET STREET, STE 560W UPHS OFFICE OF MEDICAL AFFAIRS, PHILADELPHIA, PA 19104
(215) 662-2286
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD425687
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD425687
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013006560007
—
PA
Enumeration date
07/04/2006
Last updated
11/05/2012
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