Individual provider · Type 1 NPI

Jonathan Von Reusner, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1336768126 Active

Practice location

3400 Civic Center Blvd Fl 6
Philadelphia, PA 19104-5162

Call (215) 662-3957 Map

Mailing address

285 Fraleigh Ln
Red Hook, NY 12571-2352

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336768126

Jonathan Von Reusner, MD's National Provider Identifier is 1336768126, issued on Apr 11, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 11, 2020.