# DR. PAUL MARK JENNINGS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104313196
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA12746600 | NJ | Yes |
| 208600000X | Surgery Physician | 25MB11851800 | NJ | — |
| 208C00000X | Colon & Rectal Surgery Physician | 25MB11851800 | NJ | — |

## Other

- **Enumeration date:** 04/16/2018
- **Last updated:** 03/25/2026