Addley, David Jerry

Addley, David Jerry is an individual health care provider with primary practice located at 2630 Holme Ave Ste 200 , Philadelphia PA 19152-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Addley, David Jerry can be contacted via phone (215) 332-3972.

Contact Information

Primary practice address
2630 Holme Ave Ste 200 Philadelphia PA 19152-3004
Phone: (215) 332-3972
Fax: (215) 331-3784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS009667L Pennsylvania

Profile Details

NPI number 1881767374
LBN Legal business name Addley, David Jerry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Apr 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881767374 NPPES
Pennsylvania MEDICAID 001914850

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