Basic Information
Provider Information
NPI: 1720213820
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SWITZER
FirstName: JULIA
MiddleName: FRECK
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 833 CHESTNUT ST FRNT 1
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074420
CountryCode: US
TelephoneNumber: 2159556776
FaxNumber: 2159554020
Practice Location
Address1: 833 CHESTNUT ST FRNT 1
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074420
CountryCode: US
TelephoneNumber: 2159556776
FaxNumber: 2159554020
Other Information
ProviderEnumerationDate: 05/19/2009
LastUpdateDate: 01/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X036.138647ILN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XMT194505PAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X125534CAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VG0400XMD465900PAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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