Individual
JENNIFER TJIA
Active
Individual
JENNIFER TJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
154059
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD071601L
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
154059
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019500700001
—
PA
05
—
3172503
—
MA
Enumeration date
06/10/2006
Last updated
12/20/2013
Update your record
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