Individual
MICHAEL JEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
255 W. LANCASTER AVENUE, WYNNEWOOD, PA 19096
(484) 565-1510
Mailing address
255 W. LANCASTER AVENUE, WYNNEWOOD, PA 19096
(484) 565-1510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS022163
PA
208M00000X
Hospitalist Physician
Primary
OS022163
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT019373
PA
Other
Enumeration date
07/05/2019
Last updated
08/26/2022
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