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Individual
JEFFREY P. CARPENTER
Active
Individual
JEFFREY P. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MA08489400
NJ
2086S0129X
Vascular Surgery Physician
MD039657E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012832600004
—
PA
05
—
5251001
—
NJ
01
—
6681486/4255528
AETNA
NJ
01
—
P3947303
OXFORD
NJ
Enumeration date
06/28/2006
Last updated
09/12/2019
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