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Search › Pennsylvania › 390200000X

Jack Tietema, MD

NPI 1326669391 · on the registry since 2020 · sole proprietor

Practice

Address
3400 Spruce St
Philadelphia, PA 19104
Phone
(215) 662-2250
Fax
(215) 615-3995
Organisation at this address
Univ Of Penn-Urology
Univ Of Penn - Ob-Gyn
Univ Of Penn - Ob/Gyn
Univ Of Penn - Radiology
University Of Penn Ob/Gyn
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3,967

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2026-05-05

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