Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD035409E | PA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | MD035409E | PA |
N | 207RI0011X | Interventional Cardiology | MD035409E | PA |
NPI | 1114980901 |
---|---|
Provider Name | Dr. Jess W. Oren IV |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-2160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 10/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001100833 | (05) | PA |
C34281 | (02) |