| Jgw3 Medical Pllc | |
|
255 S 17th St Ste 2701 Philadelphia PA 19103-6228 | |
| (856) 600-4011 | |
| (714) 333-2441 |
| Full Name | Jgw3 Medical Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 255 S 17th St Ste 2701, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | John Wilson (OWNER) |
| Authorized Official Contact | 8566004011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jgw3 Medical Pllc 255 S 17th St Ste 2701 Philadelphia PA 19103-6228 Ph: (856) 600-4011 | Jgw3 Medical Pllc 255 S 17th St Ste 2701 Philadelphia PA 19103-6228 Ph: (856) 600-4011 |
| NPI Number | 1235874033 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235874033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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