Individual
DR. JENNIFER MARY VANDEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
100 MARIS GROVE WAY, GLEN MILLS, PA 19342-1282
(610) 387-4520
(610) 387-4526
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(610) 387-4520
(610) 387-4526
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005881
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-11888
EVERCARE
—
01
—
3705064000
KEYSTONE/PERSONAL CHOICE BCBS
—
01
—
611455212001
TRICARE
—
01
—
VA2091879
HIGHMARK BCBS
—
Enumeration date
02/22/2008
Last updated
02/26/2026
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