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Individual

DR. JENNIFER LYNN SHOLLENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
12 PENNS TRAIL, SUITE 154, NEWTOWN, PA 18940-3438
(215) 675-3005
(888) 662-0859
Mailing address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00233300
NJ
213E00000X
Podiatrist
Primary
SC004171L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016586610006
PA
01
0429099000
KEYSTONE HEALTH PLAN EAST
PA
01
480023686
MEDICARE RAILROAD
PA
05
7337205
NJ
01
965457
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/03/2006
Last updated
08/30/2012
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