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Individual

DR. JEFFREY ANTHONY GAZZARA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
621, 1515 MARKET STREET, SUITE 1200, PHILADELPHIA, PA 19102-1921
(856) 236-0155
Mailing address
164 KENNEDY BLVD, BELLMAWR, NJ 08031-1121
(856) 236-0155

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
032.0133783
VT
208D00000X
General Practice Physician
2020003560
MO
208D00000X
General Practice Physician
302466
NY
208D00000X
General Practice Physician
5101022520
MI
208D00000X
General Practice Physician
847321
GA
208D00000X
General Practice Physician
DO2764
ME
208D00000X
General Practice Physician
DR.0063013
CO
208D00000X
General Practice Physician
ITRDO-008
WV
208D00000X
General Practice Physician
Primary
OS018948
PA
208D00000X
General Practice Physician
OS15642
FL
208D00000X
General Practice Physician
SP.243
AL

Other

Enumeration date
06/14/2016
Last updated
04/06/2023
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