Provider Demographics
NPI:1902335367
Name:PADILLA APONTE, JEAN CARLOS (MD)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:CARLOS
Last Name:PADILLA APONTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:51 N 39TH STREET
Mailing Address - Street 2:SUITE 218 WS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2640
Mailing Address - Country:US
Mailing Address - Phone:215-662-8900
Mailing Address - Fax:215-243-3222
Practice Address - Street 1:3400 SPRUCE STREET
Practice Address - Street 2:3 DULLES BUILDING
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-349-8222
Practice Address - Fax:215-349-5915
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2024-10-31
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Provider Licenses
StateLicense IDTaxonomies
PAMD469406207R00000X
MA295064207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine