Individual
JENNY PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 S 10TH ST STE 101, PHILADELPHIA, PA 19147-1274
(215) 585-2342
Mailing address
1442 S BOUVIER ST, PHILADELPHIA, PA 19146-4725
(215) 760-9943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SP026977
PA
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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