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Individual

DR. PAUL B JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3543
Mailing address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3543

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA54945
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA54945
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
924709
NJ
Enumeration date
04/19/2006
Last updated
05/01/2013
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