Individual
LAUREN JEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4350 VAN CORTLANDT PARK E, BRONX, NY 10470-1875
(718) 231-6565
Mailing address
4350 VAN CORTLANDT PARK E, BRONX, NY 10470-1875
(718) 231-6565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
283344
NY
208000000X
Pediatrics Physician
MT201624
PA
Other
Enumeration date
06/21/2012
Last updated
07/28/2016
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