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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMY R ETZKORN, MD

Active

DR. JEREMY R ETZKORN, MD is a Dermatology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1497915730 is currently active in the NPPES registry. Verify at CMS.

Dermatology · PHILADELPHIA, PA

Registration Details

NPI Number
1497915730
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2008 (18.208328545383 yrs)
Last Updated
May 15, 2014
Licenses
TRN122223 (FL)
ME110688 (FL)
ME110688 (FL)
ME110688 (FL)
MD451783 (PA)

Practice Information

Address
3600 SPRUCE STREET
2 MALONEY BLDG
PHILADELPHIA, PA, 19104
Browse PA providers · Browse ZIP 19104
Phone
2156622737
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
Additional Specialty
Procedural Dermatology
Additional Specialty
Obesity Medicine
Additional Specialty
Dermatology

Other Dermatology Providers in PHILADELPHIA, PA

Name Credential NPI
SCOTT M. PANZER M.D. 1922002369
DR. ALEXANDER EVAN EHRLICH M.D. 1215932876
MAGDALENE Y HO MD 1760489710
PAUL R GROSS MD 1558360560
DR. HOWARD MICHAEL GOLDMAN D.O. 1699764175
DR. LAWRENCE CHARLES PARISH MD 1548259815
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.