Search › Pennsylvania › 207R00000X
Jesse Johnson
NPI 1235794322 · on the registry since 2019
Practice
- Address
- 255 W Lancaster Ave
Paoli, PA 19301 - Phone
- (484) 565-1510
- Organisation at this address
- Advocare, Llc
Michele Ziskind
Paoli Pediatrics Pc
Lawrence I Katin Md
Ira M. Thal, Md, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 270
Additional practice sites
- 833 Chestnut St Ste 220, Philadelphia, PA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
390200000X - Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania