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

DR. JAY THOMAS FICKLE III, DO

Active

DR. JAY THOMAS FICKLE III, DO is a Student (Health Education/Training) healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1689293110 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · PHILADELPHIA, PA

Registration Details

NPI Number
1689293110
Provider Type
Individual
Gender
Male
NPI Issued
Apr 14, 2020 (6.3059556829791 yrs)
Last Updated
Apr 14, 2020

Practice Information

Address
4190 CITY AVE
PHILADELPHIA, PA, 191311626
Browse PA providers · Browse ZIP 19131
Phone
2158716690
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in PHILADELPHIA, PA

Name Credential NPI
DR. RUSSELL FOO M.D. 1649482985
DR. JONATHAN MICHAEL WERT M.D. 1356553689
DR. NARATHIP CHUNHAMANEEWAT M.D. 1194930529
KRISZTIAN KAPINYA M.D. 1679788285
DR. JIMMY CHEN DMD 1083820450
DR. RACHEL SHARON KOHL DDS 1467669093
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.