Provider Demographics
NPI:1215006887
Name:PLEHN, JONATHAN FREEMAN (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:FREEMAN
Last Name:PLEHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 WEST SHORE DRIVE
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534
Mailing Address - Country:US
Mailing Address - Phone:703-402-8480
Mailing Address - Fax:609-419-2929
Practice Address - Street 1:230 N BROAD ST
Practice Address - Street 2:HAHNEMANN UNIVERSITY HOSPITAL, DEPT. OF CARDIOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1121
Practice Address - Country:US
Practice Address - Phone:703-402-8480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020919E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC037147700Medicaid
DCA56557Medicare UPIN
DC037147700Medicaid