Individual
JENNIFER L WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
40 BERKSHIRE CT, SUITE 1, WYOMISSING, PA 19610-1224
(610) 374-7400
(610) 374-1641
Mailing address
40 BERKSHIRE CT, SUITE 1, WYOMISSING, PA 19610-1224
(610) 374-7400
(610) 374-1641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS012501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019145950001
—
PA
Enumeration date
08/24/2005
Last updated
11/01/2013
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