Individual
JEREMY ZWILLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(216) 612-5161
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(216) 612-5161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS017423
PA
207R00000X
Internal Medicine Physician
OS017423
PA
Other
Enumeration date
05/21/2012
Last updated
06/13/2018
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