Individual
DR. DEBRA JIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
822 PINE ST STE 2A, PHILADELPHIA, PA 19107-6187
(267) 519-0154
(267) 519-0597
Mailing address
2512 DELANCEY ST, PHILADELPHIA, PA 19103-6457
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
MD402760
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1466044
PENNSYLVANIA BLUE SHIELD
PA
01
—
2150309000
INDEPENDENCE BLUE CROSS
PA
01
—
7772455
AETNA HEALTHPLANS
PA
Enumeration date
05/31/2006
Last updated
07/21/2022
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