Individual
JAQUELINE M WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 PARK AVE STE 1D, NEW YORK, NY 10128-1758
(212) 741-2229
(212) 741-2228
Mailing address
1225 PARK AVE, SUITE 1D, NEW YORK, NY 10128-1758
(212) 741-2229
(212) 741-2228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
211448
NY
207VX0000X
Obstetrics Physician
Primary
211448
NY
Other
Enumeration date
06/02/2005
Last updated
02/01/2023
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