Individual
DR. JENNIFER JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
61 DAVIS AVE, SUITE 1, NEPTUNE, NJ 07753-4401
(732) 776-4860
(732) 776-4867
Mailing address
61 DAVIS AVE, SUITE 1, NEPTUNE, NJ 07753-4401
(732) 776-4860
(732) 776-4867
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA09326000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372862
—
NJ
Enumeration date
04/30/2008
Last updated
03/12/2014
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