Individual
CAITLIN JAECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1237 SPRING GARDEN ST, PHILADELPHIA, PA 19123-3469
(215) 769-3561
Mailing address
1237 SPRING GARDEN ST, PHILADELPHIA, PA 19123-3469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/17/2021
Last updated
02/24/2023
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