Individual
DR. MARY E JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 MARTHA JEFFERSON DR FL 4, CHARLOTTESVILLE, VA 22911-4668
(434) 654-8960
(434) 654-8961
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 654-8961
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101036767
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101036767
VA
Other
Enumeration date
11/01/2006
Last updated
07/07/2021
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