Individual
JENSEN HODECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GAITHER DR, MOUNT LAUREL, NJ 08054-1701
(856) 810-9888
Mailing address
500 N 21ST ST APT 715, PHILADELPHIA, PA 19130-4253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066114
PA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/29/2024
Last updated
09/14/2025
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