Individual
JENNIFER S NIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 WALNUT ST, THE CURTIS CENTER SUITE 6405, PHILADELPHIA, PA 19106
(215) 829-0101
(215) 829-4349
Mailing address
601 WALNUT ST, THE CURTIS CENTER, STE 230E, PHILADELPHIA, PA 19106-3323
(215) 829-0101
(215) 829-4349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD046562L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012803930007
—
PA
Enumeration date
07/04/2006
Last updated
11/01/2012
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