Individual
JENNIFER IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 CHESTNUT ST STE 701, PHILADELPHIA, PA 19107-4409
(215) 955-6180
(215) 955-6410
Mailing address
833 CHESTNUT ST STE 701, PHILADELPHIA, PA 19107-4409
(215) 955-6180
(215) 955-6410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD459865
PA
Other
Enumeration date
04/19/2012
Last updated
08/05/2022
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