Individual
DR. JEFFREY JON MOJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4824
(215) 955-6161
Mailing address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4824
(215) 955-6161
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS019392
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS019392
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403379701
—
TX
Enumeration date
04/14/2014
Last updated
07/12/2021
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