Individual
JONATHAN PHILIP LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 MAIN ST, ST VINCENTS MEDICAL CENTER: EMERGENCY DEPARTMENT, BRIDGEPORT, CT 06606-0000
(215) 300-3265
Mailing address
2255 MONTROSE ST, PHILADELPHIA, PA 19146-2529
(215) 300-3265
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
053630
CT
207P00000X
Emergency Medicine Physician
25MA08771900
NJ
207P00000X
Emergency Medicine Physician
Primary
285883
MA
207P00000X
Emergency Medicine Physician
MD041706
DC
207P00000X
Emergency Medicine Physician
MD437932
PA
Other
Enumeration date
05/05/2007
Last updated
06/23/2025
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