Jimenez, Sergio A.
Jimenez, Sergio A. is an individual health care provider with primary practice located at 833 Chestnut St Suite 740, Philadelphia PA 19107-4414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Jimenez, Sergio A. can be contacted via phone (215) 955-6680.Contact Information
Primary practice address
833 Chestnut St Suite 740
Philadelphia PA 19107-4414
Phone: (215) 955-6680
Fax: (215) 503-3333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD034713L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD034713L | Pennsylvania |
Profile Details
| NPI number | 1164445763 |
|---|---|
| LBN Legal business name | Jimenez, Sergio A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Dec 9th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164445763 | NPPES |
| New Jersey | MEDICAID | 2264200 | |
| New Jersey | MEDICAID | 000662472 |
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