Individual
DR. JEREMY FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 E 55TH ST, 14TH FLOOR, NEW YORK, NY 10022-4540
(212) 283-3000
Mailing address
110 E 55TH ST, 14TH FLOOR, NEW YORK, NY 10022-4540
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
268397-1
NY
Other
Enumeration date
04/27/2009
Last updated
08/19/2013
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