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Individual

JENNIFER MAIOLO BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
500 BLAZIER DR STE 100, WEXFORD, PA 15090-9508
(724) 934-2550
(724) 935-5558
Mailing address
500 BLAZIER DR STE 100, WEXFORD, PA 15090-9508
(724) 934-2550
(724) 935-5558

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055827
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103193093
PA
01
12527527
CAQH
Enumeration date
04/16/2013
Last updated
03/08/2023
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