Organization
GERIATRIC CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL B. JACKSON M.D. (MANAGMENT/OWNER)
(215) 471-8255
Entity
Organization
Contact information
Practice address
5801 SPRUCE ST, PHILADELPHIA, PA 19139-3833
(215) 471-8255
(215) 471-5506
Mailing address
5801 SPRUCE ST, PHILADELPHIA, PA 19139-3833
(215) 471-8255
(215) 471-5506
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD044865L
PA
Other
Enumeration date
05/18/2008
Last updated
05/18/2008
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