Individual
GAURAV JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE STE 256, WYNNEWOOD, PA 19096
(610) 642-6437
(610) 642-1582
Mailing address
100 E LANCASTER AVE STE 256, WYNNEWOOD, PA 19096-3432
(610) 642-6437
(610) 642-1582
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD447028
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2011
Last updated
06/15/2018
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