JACOB MADEIRA

PHILADELPHIA, PA
NPI1992448062
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  RN628956)
Enumeration Date2022-04-18
Last Update Date2024-05-24
Business Address
JACOB MADEIRA CRNA
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-316-5151
Mailing Address
JACOB MADEIRA CRNA
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-8244