Individual
JACEK ZDZISLAW OBARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 ROBINSON ST STE 100, COMMUNITY HEALTH AND DENTAL CARE, POTTSTOWN, PA 19464-6421
(610) 326-9460
Mailing address
11 ROBINSON ST, SUITE 100, POTTSTOWN, PA 19464-6421
(610) 326-9460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
235325
MA
207Q00000X
Family Medicine Physician
Primary
MD443274
PA
Other
Enumeration date
05/02/2007
Last updated
11/18/2011
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