Individual
DR. JIMMIE JEROME SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5151 WALNUT ST, SUITE A, PHILADELPHIA, PA 19139-4130
(215) 474-2007
(215) 474-2009
Mailing address
5151A WALNUT STREET, PHILADELPHIA, PA 19139
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD056247L
PA
Other
Enumeration date
06/10/2007
Last updated
01/15/2013
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