Individual
JESSICA ROSE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2705 DEKALB PIKE STE 202, NORRISTOWN, PA 19401
(610) 275-7240
(610) 275-0633
Mailing address
41 UNIVERSITY DR STE 300, NEWTOWN, PA 18940-1873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS015901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2680246
BLUE SHIELD
PA
01
—
3856419
COVENTRY
PA
01
—
3871997000
IBC/KHPE
PA
Enumeration date
10/06/2008
Last updated
08/19/2024
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