Provider Demographics
NPI:1215239843
Name:BARON, JILLIAN TRACEY (MD)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:TRACEY
Last Name:BARON
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:3 SILVERSTEIN
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4238
Mailing Address - Country:US
Mailing Address - Phone:215-662-6932
Mailing Address - Fax:215-662-7899
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:3 SILVERSTEIN
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-662-6932
Practice Address - Fax:215-662-7899
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2018-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD462522207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease