Individual
GEORGE A JENCKES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-5455
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-0799
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD031720E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101848159
—
PA
01
—
165260
MEDICARE
PA
Enumeration date
04/25/2006
Last updated
04/05/2018
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