Kochan, Jeffrey P

Kochan, Jeffrey P is an individual health care provider with primary practice located at 3401 N Broad St 1St Fl Park Avenue Pavilion, Philadelphia PA 19140-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Kochan, Jeffrey P can be contacted via phone (215) 707-7237.

Contact Information

Primary practice address
3401 N Broad St 1St Fl Park Avenue Pavilion Philadelphia PA 19140-5103
Phone: (215) 707-7237
Fax: (215) 707-9389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD057322L Pennsylvania

Profile Details

NPI number 1396733226
LBN Legal business name Kochan, Jeffrey P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jan 25th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396733226 NPPES
Pennsylvania MEDICAID 0015696320002

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