Individual
DR. JENNIFER K. STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 E LANCASTER AVE STE 660, LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 896-7550
(610) 896-7914
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS0130999
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101160656
—
PA
Enumeration date
05/04/2006
Last updated
07/01/2021
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