Individual
DR. JENNIFER GRANT BUDACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1272 W MAIN RD, MIDDLETOWN, RI 02842-6405
(401) 847-2290
(401) 849-8446
Mailing address
1201 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO00939
RI
208000000X
Pediatrics Physician
OS017608
PA
Other
Enumeration date
04/05/2012
Last updated
12/16/2019
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