Individual
JENNIFER LAURA STOCKHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3691 CRESCENT CT E, WHITEHALL, PA 18052-3433
(610) 434-9561
(610) 434-5122
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS018779
PA
Other
Enumeration date
06/12/2013
Last updated
02/01/2018
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