Individual
MISS JENNIFER LYNN BURDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 BEY LEA RD STE B203, TOMS RIVER, NJ 08753-2974
(732) 341-5180
Mailing address
40 BEY LEA RD STE B203, TOMS RIVER, NJ 08753-2974
(732) 341-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00334700
NJ
363AM0700X
Medical Physician Assistant
MA058218
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702170
—
NJ
Enumeration date
05/27/2014
Last updated
02/14/2023
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