Individual
JENNIFER DEARDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5000
Mailing address
140 WRIGHT ST, PHILADELPHIA, PA 19127-1922
(717) 817-0024
(215) 258-1037
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058221
PA
390200000X
Student in an Organized Health Care Education/Training Program
MA058221
PA
Other
Enumeration date
06/22/2016
Last updated
03/17/2018
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