Maltzman, Jonathan

Maltzman, Jonathan is an individual health care provider with primary practice located at 3400 Spruce St 210 White Bldg, Philadelphia PA 19104-4206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Maltzman, Jonathan can be contacted via phone (215) 662-2638.

Contact Information

Primary practice address
3400 Spruce St 210 White Bldg Philadelphia PA 19104-4206
Fax: (215) 349-5703
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD070624L Pennsylvania

Profile Details

NPI number 1700811841
LBN Legal business name Maltzman, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 10th, 2011 - about 15 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 1700811841 NPPES
Pennsylvania MEDICAID 101028798

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