Individual
JASON KRASTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-7536
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT233457
PA
Other
Enumeration date
05/13/2025
Last updated
05/14/2025
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