Individual
JENNIFER C COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3800
(814) 375-3886
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4024
(814) 372-2579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247472
MA
207R00000X
Internal Medicine Physician
LP01327
RI
207RH0003X
Hematology & Oncology Physician
Primary
MD469786
PA
208M00000X
Hospitalist Physician
247479
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2008
Last updated
04/20/2020
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