Individual
MRS. JAYNE E BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1516 LOCUST ST, PHILADELPHIA, PA 19102-4409
(215) 545-5458
Mailing address
1516 LOCUST ST, PHILADELPHIA, PA 19102-4409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD453889
PA
Other
Enumeration date
06/08/2011
Last updated
06/29/2015
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