Jennifer Villasenor-Park
Dermatologist
3400 Spruce St 2 Maloney
Philadelphia
, Pennsylvania 19104-4238
Jennifer Villasenor-Park
Dermatologist
3400 Spruce St 2 Maloney
Philadelphia
, Pennsylvania 19104-4238
(215) 662-2737
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Jennifer Villasenor-Park
- 3400 Spruce St 2 Maloney Bldg
- Philadelphia, PA
- Zip : 19104-4238
- Phone : (215) 662-2737
Second Address
- Jennifer Villasenor-Park
- 3400 Spruce St 2 Maloney
- Philadelphia, PA
- Zip : 19104-4238
- Phone : (215) 662-2737
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD450451 | PA |
National Provider Identifier
| NPI | 1053547851 |
|---|---|
| Provider Name | Jennifer Villasenor-Park |
| First Address | Philadelphia, PA 19104-4238 |
| Second Address | Philadelphia, PA 19104-4238 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2009 |
| Last Update Date | 24/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.