Flood, Jeremy J

Flood, Jeremy J is an individual health care provider with primary practice located at 51 N 39Th Street Suite 2A, Philadelphia PA 19104-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Flood, Jeremy J can be contacted via phone (215) 662-9996.

Contact Information

Primary practice address
51 N 39Th Street Suite 2A Philadelphia PA 19104-2640
Phone: (215) 662-9996
Fax: (215) 762-2689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD423595 Pennsylvania

Profile Details

NPI number 1639203128
LBN Legal business name Flood, Jeremy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Nov 23rd, 2011 - about 13 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 1639203128 NPPES
Pennsylvania MEDICAID 101876396

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