Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | MD044332L | PA |
NPI | 1760496327 |
---|---|
Provider Name | Dr. John F Jennings |
First Address | Sellersville, PA 18960 |
Second Address | Sellersville, PA 18960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 31/07/2007 |