Dr. Jeffrey Anthony Gazzara Jr.
General Practice

Address: 621, 1515 Market Street, Suite 1200, Philadelphia, PA 19102-1921
Phone: 8562360155

Dr. Jeffrey Anthony Gazzara Jr. (NPI# 1790135358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1790135358
Entity Type Individual
Full Name Dr. Jeffrey Anthony Gazzara Jr.
Credential DO
Gender Male
Practice Address 621, 1515 Market Street
Suite 1200
Philadelphia
PA 19102-1921
Practice Telephone 8562360155
Mailing Address 968 Kings Hwy Apt H2
West Deptford
NJ 08086-9345
Mailing Telephone 8562360155
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2016-06-14
Last Update Date 2020-07-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208D00000X General Practice Allopathic & Osteopathic Physicians OS018948 PA
No 208D00000X General Practice Allopathic & Osteopathic Physicians 2020003560 MO
No 208D00000X General Practice Allopathic & Osteopathic Physicians 847321 GA
No 208D00000X General Practice Allopathic & Osteopathic Physicians 302466 NY
No 208D00000X General Practice Allopathic & Osteopathic Physicians DR.0063013 CO
No 208D00000X General Practice Allopathic & Osteopathic Physicians OS15642 FL
No 208D00000X General Practice Allopathic & Osteopathic Physicians 5101022520 MI
No 208D00000X General Practice Allopathic & Osteopathic Physicians DO2764 ME
No 208D00000X General Practice Allopathic & Osteopathic Physicians 032.0133783 VT

Secondary Practice Locations

Address Telephone Number Fax Number
2222 W Grand River Ave Ste A, Okemos, MI 488641604 8562360155

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Office Location

Street Address 621, 1515 MARKET STREET
SUITE 1200
City PHILADELPHIA
State PA
Zip Code 19102-1921

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720682875 Adriana Makarukha Pharmacist 1424-26 Chestnut St, Philadelphia, PA 19102 2020-11-29
1821650847 Alexandre Mason Sharma Student in an Organized Health Care Education/Training Program 200 N 16th St Apt 1318, Philadelphia, PA 19102 2019-06-29
1720648223 Ali Haydar Internal Medicine 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 2019-06-17
1124688734 Aakash Patel Internal Medicine Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-17
1245898170 Parth Javia Internal Medicine 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-05
1588120968 John Granger II Social Worker 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 2019-02-11
1750851390 Philadelphia Pain and Neurology Institute, LLC Chiropractor 1528 Walnut Street Suite 620, Philadelphia, PA 19102 2018-11-27
1255824033 Joyce Nimo-boampong Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 2018-06-07
1134625692 Emma Rose Gormley Social Worker 1601 Walnut St Ste 1516, Philadelphia, PA 19102 2018-04-03
1851808497 Sunish Shah Pharmacist 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 2018-01-04
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Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.