Individual
DR. JENNIFER DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2651 W MARKET ST, SUITE 2, FAIRLAWN, OH 44333-4200
(330) 864-4488
(330) 836-6706
Mailing address
3515 MASSILLON RD, SUITE 300, UNIONTOWN, OH 44685-6400
(330) 899-9350
(330) 634-1329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34010095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052151
—
OH
Enumeration date
08/28/2008
Last updated
09/12/2016
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