Individual
DR. JESSICA AUDREY ENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4150 CLEMENT ST, DIVING OF GERIATRICS, BUILDING 1 (181G), SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, DIVING OF GERIATRICS, BUILDING 1 (181G), SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233119
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A121501
MA
Other
Enumeration date
04/23/2008
Last updated
10/22/2012
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