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Search › Pennsylvania › 1041C0700X

Jack Komejan, L.C.S.W

NPI 1710335542 · on the registry since 2016 · sole proprietor

Practice

Address
34th And Civic Center Boulevard
Philadelphia, PA 19104
Phone
(215) 590-1136
Organisation at this address
Childrens Hospital Of Philadelphia
Children'S Hospital Of Philadelphia
Children'S Hospital Of Philadelphia
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-02

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