Individual
JENNY FANG MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 E MARSHALL ST STE 301, WEST CHESTER, PA 19380-4400
(610) 384-8300
(610) 384-8885
Mailing address
PO BOX 822336, PHILADELPHIA, PA 19182-2336
(610) 902-6092
(610) 902-0986
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MT060990
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD481378
PA
Other
Enumeration date
04/11/2018
Last updated
04/15/2024
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