Individual
JESS ELENTO OMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
576 FAWNVIEW CIRCLE, BLUE BELL, PA 19422-1386
(215) 661-2923
Mailing address
576 FAWNVIEW CIRCLE, BLUE BELL, PA 19422-1386
(215) 661-2923
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
033458-L
PA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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