Individual
JASON SELIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS021163
PA
208M00000X
Hospitalist Physician
Primary
OS021163
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT017072
PA
Other
Enumeration date
05/31/2016
Last updated
05/24/2021
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