Individual
JENNIFER L ORMSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
(201) 445-7471
Mailing address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
(201) 445-7471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00203200
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00203200
NJ
Other
Enumeration date
07/03/2008
Last updated
12/16/2020
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