IndividualActive
Jeffrey Mortenson, MD
NPI 1265922694 · Pediatric Cardiology Physician · Philadelphia, PA
Provider details
- NPI number
- 1265922694
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD486037 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone: (484) 628-1324
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 13579
Reading, PA 19612-3579
Registry dates
- Enumerated
- 2018-05-10
- Last updated
- 2024-08-09
- Certified
- 2024-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.