NPI 1215598362 · live from the CMS NPI Registry
Jack Allan, MD
Emergency Medicine in Philadelphia, PA. National Provider Identifier 1215598362, active.
NPI record
| NPI | 1215598362 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 3401 N Broad St, Philadelphia, PA 19140 |
| Practice phone | 215-707-2000 |
| Mailing address | 1316 W Ontario St, Philadelphia, PA 19140 |
| Enumerated | June 27, 2019 |
| Last updated | June 2, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | MD476370 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.