NPI Registry.org

Jedidah Prum

NPI Registration Record

Provider / OrganizationNPIDate Certified
JEDIDAH PRUM11045574952022-06-18

Jedidah Prum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104557495. Registration indicates Jedidah Prum is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Jedidah Prum
Practice Office Address2900 W QUEEN LN
PHILADELPHIA, PA US
Practice Office Telephone2159918100
Mailing Address2900 W QUEEN LN
PHILADELPHIA, PA 191291033 US
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes
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