Dr. Michael Angel Jimenez, M.D.
Surgery in Fountain Hill, PA. Individual provider (NPI-1).
NPI number1679766331
StatusActive
Last updated in NPPESAug 24, 2007
Details
- NPI
- 1679766331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Angel Jimenez
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2007
- Last updated
- Aug 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MT189479 | PA | Yes |
Practice location
1064 Delaware AveApt 2
Fountain Hill, PA 18015-2509
Phone 310-435-4140
Mailing address
1064 Delaware Ave Apt 2Fountain Hill, PA 18015-2509
Phone 310-435-4140
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