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1144336231
JERRY MILTON TRACHTENBERG
PHILADELPHIA, PA
NPI
1144336231
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Professional Name
JEROME MILTON TRACHTENBERG
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA 0S005352-L)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- JERRY MILTON TRACHTENBERG DO
WORKHEALTH KNIGHTS & RED LION RDS SUITE 206-MOB
PHILADELPHIA, PA 19114
Phone number: 215-612-4836
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Mailing Address
-- JERRY MILTON TRACHTENBERG DO
7044 LYNFORD ST
PHILADELPHIA, PA 19149-1714
Phone number: 215-725-6713
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