Individual
JEFFREY P. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 COOPER PLAZA, SUITE 502, CAMDEN, NJ 08103
(856) 968-7433
(856) 365-1180
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MA08489400
NJ
2086S0129X
Vascular Surgery Physician
MD039657E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012832600004
—
PA
05
—
5251001
—
NJ
01
—
6681486/4255528
AETNA
NJ
01
—
P3947303
OXFORD
NJ
Enumeration date
06/28/2006
Last updated
09/12/2019
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