Individual
JENNIFER DESALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8000
Mailing address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.142216
OH
208000000X
Pediatrics Physician
35.142216
OH
Other
Enumeration date
03/19/2019
Last updated
06/21/2023
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