Individual
JENNIFER BIENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 S GREENE ST, RM S8D18, BALTIMORE, MD 21201-1544
(410) 328-2360
(410) 328-0638
Mailing address
22 S GREENE ST, RM S8D18, BALTIMORE, MD 21201-1544
(410) 328-2360
(410) 328-0638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016758
NY
363AS0400X
Surgical Physician Assistant
Primary
C0005235
MD
Other
Enumeration date
10/02/2013
Last updated
07/28/2015
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