Individual
JENIFER SLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-1596
(610) 889-0813
Mailing address
PO BOX 678678, DALLAS, TX 75267-8678
(800) 475-6112
(423) 826-1286
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD426281
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101806462
—
PA
Enumeration date
12/15/2006
Last updated
11/02/2020
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