Individual
DR. JENNIFER TIOSECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
65 W JIMMIE LEEDS RD, CHOP CARE NETWORK @ ATLANTICARE, POMONA, NJ 08240-9102
(609) 404-3816
(609) 404-3818
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA07423200
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
MA74232
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075311
—
NJ
Enumeration date
04/19/2006
Last updated
02/28/2014
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