Individual ProviderJerry Milton TrachtenbergFamily MedicineAllopathic & Osteopathic PhysiciansPractice AddressWorkhealth Knights & Red Lion Rds, Suite 206-Mob, Philadelphia, PA 19114(215) 612-4836(215) 725-6713PECOS EnrollmentBased on the most recent information from CMS, provider Jerry Milton Trachtenberg does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1144336231Provider TypeIndividualFull NameTrachtenberg, Jerry MiltonCredentialDOGenderMaleSole ProprietorNoEnumeration Date8/22/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressWorkhealth Knights & Red Lion Rds, Suite 206-Mob, Philadelphia, PA 19114Phone(215) 612-4836Fax(215) 612-4904Mailing LocationMailing Address7044 Lynford St, Philadelphia, PA 19149-1714Phone(215) 725-6713FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0S005352-LPennsylvania