Individual
LOUIS G JENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 SUMMER ST STE 320S, WORCESTER, MA 01608-1216
(508) 964-5580
(508) 368-3143
Mailing address
123 SUMMER ST STE 320S, WORCESTER, MA 01608-1216
(508) 964-5580
(508) 368-3143
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
76427
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110059088A
—
MA
Enumeration date
08/12/2005
Last updated
05/22/2024
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