Individual
JILL M BAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-7248
(215) 662-3953
Mailing address
3400 SPRUCE ST, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-7248
(215) 662-3953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD061718L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001634131
—
PA
05
—
7239301
—
NJ
Enumeration date
07/20/2006
Last updated
02/28/2013
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