Individual
DR. JAY ADAM GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3606
Mailing address
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104
(215) 662-3606
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036-112080
IL
2084N0400X
Neurology Physician
Primary
MD069248L
PA
Other
Enumeration date
08/23/2006
Last updated
07/21/2022
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