Individual
JENNIFER M RUPPERSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
903 FLORAL VALE BLVD, YARDLEY, PA 19067-5515
(215) 579-6155
Mailing address
903 FLORAL VALE BLVD, YARDLEY, PA 19067-5515
(215) 579-6155
(215) 860-0723
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA003105
PA
363A00000X
Physician Assistant
MA003105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9106916001
CIGNA
PA
01
—
P3059562
OXFORD
PA
Enumeration date
11/11/2005
Last updated
09/28/2023
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