Individual
JONATHAN PATRICK RIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Mailing address
2829 S 9TH ST, PHILADELPHIA, PA 19148-5049
(610) 730-6485
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP025478
PA
Other
Enumeration date
08/06/2022
Last updated
08/07/2022
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