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Individual

JIRI GEORGE HORAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 SPRUCE STREET, 4 DULLES BUILDING, PHILADELPHIA, PA 19104
(215) 349-8310
Mailing address
3400 SPRUCE STREET, 6 DULLES, PHILADELPHIA, PA 19104
(215) 349-8310

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD069426L
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD069426L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018804940001
PA
Enumeration date
06/10/2006
Last updated
05/01/2013
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