Provider Demographics
NPI:1467679738
Name:MAYRIN, JANE (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:MAYRIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9880 BUSTLETON AVE
Mailing Address - Street 2:STE 220
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-2185
Mailing Address - Country:US
Mailing Address - Phone:215-827-1500
Mailing Address - Fax:215-827-1501
Practice Address - Street 1:9880 BUSTLETON AVE
Practice Address - Street 2:STE 220
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-2185
Practice Address - Country:US
Practice Address - Phone:215-827-1500
Practice Address - Fax:215-827-1501
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2015-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD427269207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism