Individual
DANIEL JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 GREAT VALLEY PKWY STE 160, MALVERN, PA 19355-1445
(484) 328-4702
Mailing address
PO BOX 418, WAYNE, PA 19087-0418
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
181323-1205
UT
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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