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Individual

JAY D AMSTERDAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3535 MARKET ST, 3RD FLOOR, PHILADELPHIA, PA 19104
(215) 746-6700
Mailing address
3624 MARKET STREET, UPHS OFFICE OF MEDICAL AFFAIRS STE 560W, PHILADELPHIA, PA 19104
(215) 662-2286

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD016480E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006539740002
PA
Enumeration date
07/07/2006
Last updated
07/08/2007
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